Individual
FAWN E. WUJICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2308 SYCAMORE AVE, LOUISVILLE, KY 40206-2421
(502) 693-1449
(188) 851-1026
Mailing address
2308 SYCAMORE AVE, LOUISVILLE, KY 40206-2421
(502) 693-1449
(188) 851-1026
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002041A
IN
231H00000X
Audiologist
KY-0170
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200209270
—
IN
Enumeration date
02/05/2007
Last updated
11/24/2024
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