Individual
MS. MARY ELIZABETH WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
100 SAW MILL RD, SUITE 3200, LAFAYETTE, IN 47905-5592
(765) 430-3536
(765) 477-9905
Mailing address
PO BOX 1186, LAFAYETTE, IN 47902-1186
(765) 337-8866
(765) 477-9905
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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