MAKAYLA DANIELLE WIETEK

SANTA ROSA, CA
NPI1679207872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  138181)
Additional Taxonomies104100000X Social Worker
Enumeration Date2022-07-13
Last Update Date2026-04-23
Business Address
MAKAYLA DANIELLE WIETEK
2227 CAPRICORN WAY STE 207
SANTA ROSA, CA 95407-5486
Phone number: 707-565-4810
Mailing Address
MAKAYLA DANIELLE WIETEK
2227 CAPRICORN WAY STE 207
SANTA ROSA, CA 95407-5486
Phone number: 707-565-4810
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