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1699357608
KELLY BAKER WIESE
SAN ANTONIO, TX
NPI
1699357608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 52511)
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business 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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Mailing Address
KELLY BAKER WIESE MSW, MPH, LCSW
9416 GARDENIA BEND DR
SAN ANTONIO, TX 78266-2522
Phone number: 210-508-1769
Copy
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