Individual
ELIZABETH WANNSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3904 OLEANDER DR, SUITE 102, WILMINGTON, NC 28403-6717
(910) 313-3232
Mailing address
562 ROSE AVE, WILMINGTON, NC 28403-3440
(724) 420-3307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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