Individual
MARY ANN WIERMANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA BCBA
Contact information
Practice address
39667 N WARREN LANE, BEACH PARK, IL 60083-3051
(847) 336-4823
(847) 249-9701
Mailing address
39667 N WARREN LANE, BEACH PARK, IL 60083-3051
(847) 336-4823
(847) 249-9701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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