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Individual

JULIA L WERNZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
777 S MAIN ST, SUITE 100, CLINTON, IN 47842-2493
(765) 828-1003
(765) 828-1030
Mailing address
PO BOX 344, CLINTON, IN 47842-0344
(765) 828-1003
(765) 828-1030

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200934820
IN
Enumeration date
03/19/2008
Last updated
07/19/2013
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