Search › Illinois › 1041C0700X
Theresa Wiese, LCSW
NPI 1891750816 · on the registry since 2006
Practice
- Address
- 310 Hillcrest Dr
Washington, IL 61571 - Phone
- (309) 645-1318
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
1041C0700X - Licence states on file
- NULL, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-17
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 Illinois