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1366900268
KAREN SUE WIETZEL
ORMOND BEACH, FL
NPI
1366900268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-03-10
Last Update Date
2019-03-10
Business Address
KAREN SUE WIETZEL LMHC
533 N NOVA RD
ORMOND BEACH, FL 32174-4447
Phone number: 386-898-5003
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Mailing Address
KAREN SUE WIETZEL LMHC
4 SOCO TRL
ORMOND BEACH, FL 32174-4937
Phone number: 386-400-2442
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