Individual
KIRSTEN E WYSOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 W 9TH ST, LORAIN, OH 44052-1240
(440) 654-5980
(440) 654-5980
Mailing address
1605 W 9TH ST, LORAIN, OH 44052-1240
(440) 654-5980
(440) 654-5980
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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