Wiese, Jillian Marie

Wiese, Jillian Marie is an individual health care provider with primary practice located at 555 Cameron Way Unit 2 , North Liberty IA 52317-4901. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wiese, Jillian Marie can be contacted via phone (319) 804-9312.

Contact Information

Primary practice address
555 Cameron Way Unit 2 North Liberty IA 52317-4901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 101399 Iowa

Profile Details

NPI number 1366203820
LBN Legal business name Wiese, Jillian Marie
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2024
Last updated Jan 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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