Individual
MONICA WAMPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 MAIN ST, LAFAYETTE, IN 47901-1451
(765) 423-2638
Mailing address
415 N 26TH ST STE 201, LAFAYETTE, IN 47904-2856
(765) 446-6562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008375A
IN
Other
Enumeration date
02/13/2019
Last updated
05/19/2022
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