Individual
KIMBERLY KAY WYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 S UNIVERSITY PARK DRIVE, BUILDING D CAAT CENTER, MOUNT PLEASANT, MI 48859
(989) 774-2529
Mailing address
2520 S UNIVERSITY PARK DRIVE, BUILDING D CAAT CENTER, MOUNT PLEASANT, MI 48859
(989) 774-2529
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP0000000823583
MI
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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