Individual
TATIANNA WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1499 6TH ST, GREEN BAY, WI 54304-2252
(920) 497-6161
Mailing address
1499 6TH ST, GREEN BAY, WI 54304-2252
(920) 497-6161
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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