Individual
KYLIE WIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
1200 LAREDO CT, RENO, NV 89503-3142
(530) 306-2547
Mailing address
1200 LAREDO CT, RENO, NV 89503-3142
(530) 306-2547
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14321214
NV
Other
Enumeration date
10/20/2019
Last updated
10/20/2019
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