Individual
CARRIE WIESENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10235 STATE ROUTE 88, GARRETTSVILLE, OH 44231-9205
(330) 527-5524
Mailing address
10235 STATE ROUTE 88, GARRETTSVILLE, OH 44231-9205
(330) 527-5524
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
OH
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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