| Mrs Syd L Wiesel, LCSW | |
|
390 1st St Sw, Bandon, OR 97411-9667 | |
| (541) 347-1134 | |
| (541) 347-1134 |
| Full Name | Mrs Syd L Wiesel |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 390 1st St Sw, Bandon, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669479820 | NPI | - | NPPES |
| 181466 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1866 LCSW (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Syd L Wiesel, LCSW Po Box 1844, Bandon, OR 97411-1844 Ph: (541) 347-1134 | Mrs Syd L Wiesel, LCSW 390 1st St Sw, Bandon, OR 97411-9667 Ph: (541) 347-1134 |
Tracy Ann Merriam, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 10th St Se, Bandon, OR 97411 Phone: 541-347-5191 Fax: 541-266-4578 | |
Dr. Ivy Christine Wagner, DBH, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 780 2nd St Se Ste 10, Bandon, OR 97411 Phone: 541-329-2144 | |
Mrs. Susan Lynn Dimock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 Alabama St, Suite 27, Bandon, OR 97411 Phone: 541-347-7090 |