STEPHANIE WIESE

NPI # 

Practice Address:

123 W Washington St , Suite 340

Oswego, IL, 60543-8214

Practice Phone:

630-818-7899

License Number:

180007986

License State:

IL

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Specialization:

Mental Health

Taxonomy Code:

101YM0800X