Individual
MRS. CARLA WISARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3805 MARLANE DR, GROVE CITY, OH 43123-9224
(614) 801-3024
Mailing address
3805 MARLANE DR, GROVE CITY, OH 43123-9224
(614) 801-3024
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OS1-05-1135 JJT7033
OH
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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