Individual
CHELSEA WAHL-BRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2270 LAKE AVE STE 101, FORT WAYNE, IN 46805-5360
(260) 444-5649
Mailing address
2270 LAKE AVE STE 101, FORT WAYNE, IN 46805-5360
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25351
—
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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