LAWRENCE WIELAND

MESA, AZ
NPI1598987703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC0673)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
-- LAWRENCE WIELAND LISAC
2950 S ALMA SCHOOL RD #11
MESA, AZ 85210-4035
Phone number: 480-430-0169
Mailing Address
-- LAWRENCE WIELAND LISAC
2950 S ALMA SCHOOL RD #11
MESA, AZ 85210-4035
Phone number: 480-430-0169
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