MARK D WIESNER

BELLEVILLE, IL
NPI1568013613
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: IL  166.000546)
Enumeration Date2019-09-20
Last Update Date2019-09-20
Business Address
MARK D WIESNER LMFT
8100 W MAIN ST
BELLEVILLE, IL 62223-2018
Phone number: 618-397-1407
Mailing Address
MARK D WIESNER LMFT
1567 SINKING SPRINGS DR
O FALLON, IL 62269-6658
Phone number:
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