Individual
MS. CLARA WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8350 CRAIG ST, INDIANAPOLIS, IN 46250-3593
(317) 578-0410
Mailing address
8350 CRAIG ST, INDIANAPOLIS, IN 46250-3593
(317) 578-0410
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72881
IN
Other
Enumeration date
07/09/2021
Last updated
06/05/2024
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