Individual
CORINA MARIE WETTLAUFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(270) 412-1234
(270) 461-0430
Mailing address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(270) 412-1234
(270) 461-0430
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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