KELLY BAKER WIESE

SAN ANTONIO, TX
NPI1699357608
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  52511)
Enumeration Date2021-04-28
Last Update Date2021-04-28
Business Address
KELLY BAKER WIESE MSW, MPH, LCSW
9416 GARDENIA BEND DR
SAN ANTONIO, TX 78266-2522
Phone number: 210-508-1769
Mailing Address
KELLY BAKER WIESE MSW, MPH, LCSW
9416 GARDENIA BEND DR
SAN ANTONIO, TX 78266-2522
Phone number: 210-508-1769
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