Individual
JOANNE MIZII WISELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4380
(610) 925-4441
Mailing address
118 DEEPDALE RD, WAYNE, PA 19087-2628
(610) 688-7609
(610) 925-4441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL002176L
PA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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