Individual
LAUREN BROOKE WIESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
1590 ALPINE DR, COLUMBUS, OH 43229-2198
(614) 365-5359
Mailing address
736 CIVITAS AVE APT 303, COLUMBUS, OH 43215-1990
(513) 382-3654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20232477
OH
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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