Individual
MACI KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 SHERMAN DR, PRINCETON, IN 47670-1043
(812) 385-9250
Mailing address
1808 SHERMAN DR, PRINCETON, IN 47670-1043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46003875A
IN
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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