Individual
CLARISSA GRACE WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
8840 N MAGNOLIA AVE STE 220, SANTEE, CA 92071-4516
(619) 749-7059
Mailing address
11724 NEGLEY DR, SAN DIEGO, CA 92131-1441
(314) 630-8466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15673
CA
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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