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1023230794
ENID F. WIESE
PHILADELPHIA, PA
NPI
1023230794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: PA SL002534L)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Mrs. ENID F. WIESE SLP
3975 CONSHOHOCKEN AVE
PHILADELPHIA, PA 19131-5426
Phone number: 215-879-1000
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Mailing Address
Mrs. ENID F. WIESE SLP
142 TRENT RD
WYNNEWOOD, PA 19096-3505
Phone number: 610-513-1222
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