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1063790509
TERESA WIEDEMANN
WALLA WALLA, WA
NPI
1063790509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW 60111377)
Enumeration Date
2011-08-02
Last Update Date
2012-04-09
Business Address
Ms. TERESA WIEDEMANN LICSW
139 RUSSET RD
WALLA WALLA, WA 99362-8253
Phone number: 509-520-4370
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Mailing Address
Ms. TERESA WIEDEMANN LICSW
139 RUSSET RD
WALLA WALLA, WA 99362-8253
Phone number: 509-520-4370
Copy
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