MICAH WIEDEMANN

LAS VEGAS, NV
NPI1144630658
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-05-06
Last Update Date2014-05-06
Business Address
-- MICAH WIEDEMANN
3001 LAKE EAST DR APT 2089
LAS VEGAS, NV 89117-2205
Phone number: 313-815-0055
Mailing Address
-- MICAH WIEDEMANN
3001 LAKE EAST DR APT 2089
LAS VEGAS, NV 89117-2205
Phone number:
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