Individual
STEPHANIE R WISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1260 E BUCKEYE ST, NORTH VERNON, IN 47265-8343
(812) 346-4468
(812) 378-8367
Mailing address
720 N MARR RD, COLUMBUS, IN 47201-6660
(812) 314-3400
(812) 378-8367
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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