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1730109091
VICTORIA MARY WIESE
MILWAUKEE, WI
NPI
1730109091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WI 1419057)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
Dr. VICTORIA MARY WIESE Ph.D.
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 414-384-2000
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Mailing Address
Dr. VICTORIA MARY WIESE Ph.D.
2526 S 94TH ST
WEST ALLIS, WI 53227-2334
Phone number: 414-384-2000
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PSYCHOLOGICAL PURPOSES LLC