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Search › Arizona › 104100000X

Calvin Wiese, LCSW

NPI 1821654518 · on the registry since 2019

Practice

Address
4175 S Alamo Ave
Tucson, AZ 85707
Phone
(520) 228-2615
Organisation at this address
355th Medgrp-Davis-Monthan
Inferred from a shared address, not stated in the registry.
Clinicians at this address
68

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101YM0800X
1041C0700X
Licence states on file
MA, MT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona