Provider Information for 1780041681
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SONIA L WIESNER LPC
Sex: Female
NPI: 1780041681
Last Updated: 2024-03-21
Certification Date: 2024-03-21
Certification Date: 2024-03-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1780041681 | ||||||||
| Enumeration Date | 2016-01-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | N9607 FRIENDSHIP DR APT 4 KAUKAUNA, WI 54130-8555 United States Phone: 920-810-1533 | Fax:920-832-5488 | ||||||||
| Primary Practice Address | N9607 FRIENDSHIP DR APT 4 KAUKAUNA, WI 54130-8555 United States Phone: 920-810-1533 | Fax: | ||||||||
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