Individual
ABBY WESSELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
522 E MAIN ST, MASCOUTAH, IL 62258-2240
(618) 566-0313
Mailing address
19515 PIN OAK RD, HOYLETON, IL 62803-2333
(161) 832-2583
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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