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Individual
MRS. KARA WIESEMANN
Active
Individual
MRS. KARA WIESEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180013781
IN
101YM0800X
Mental Health Counselor
Primary
39004251A
IN
Other
Enumeration date
07/27/2022
Last updated
08/08/2022
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