Individual
LEEANN WENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(317) 520-4748
Mailing address
104 BRADFORD CT, BROWNSBURG, IN 46112-8071
(317) 507-4319
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
1488980
IN
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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