KELLEY SUSAN WIESE

MIDLAND, MI
NPI1194385633
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801103963)
Enumeration Date2019-06-17
Last Update Date2019-06-17
Business Address
KELLEY SUSAN WIESE MSW
612 CORVUS DR
MIDLAND, MI 48642-8111
Phone number: 614-805-2930
Mailing Address
KELLEY SUSAN WIESE MSW
612 CORVUS DR
MIDLAND, MI 48642-8111
Phone number: