| NPI | 1427426733 | 
|---|---|
| Doing Business As | PAUL WIEMERSLAGE LCSW | 
| Entity Type | Organization | 
| Authorized Contact | PAUL K WIEMERSLAGE Owner/Psychotherapist 720-767-2859  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149.015124)  | 
| Enumeration Date | 2015-09-03 | 
| Last Update Date | 2015-09-03 |