Individual
HANNAH ELIZABETH WISMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25328 REAVES RD, OPP, AL 36467-4826
(334) 208-9691
Mailing address
25328 REAVES RD, OPP, AL 36467-4826
(334) 208-9691
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-1520756
—
AL
Enumeration date
07/09/2021
Last updated
07/09/2021
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