Individual
MRS. STACY DELAYNE WEISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 WOODLAWN DR, JASPER, IN 47546-9398
(812) 634-2617
(812) 482-2193
Mailing address
706 WOODLAWN DR, JASPER, IN 47546-9398
(812) 634-2617
(812) 482-2193
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
200636320
IN
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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