Individual
JULIE VONDRELL-WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
244 S MONROE ST, TIFFIN, OH 44883-2906
(419) 447-2515
Mailing address
244 S MONROE ST, TIFFIN, OH 44883-2906
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
OS1-03-5649
OH
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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