Individual
SELENA WISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
229 W SPRING ST, NEW ALBANY, IN 47150
(812) 206-3291
(812) 206-3296
Mailing address
9800 TUCSON CT, LOUISVILLE, KY 40223
(502) 426-9747
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0417
KY
106H00000X
Marriage & Family Therapist
Primary
35001423A
IN
Other
Enumeration date
07/05/2005
Last updated
07/08/2007
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