Individual
MS. LAURE WIETHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
ED.S
Contact information
Practice address
815 N STATE ROAD 29, MICHIGANTOWN, IN 46057-9616
(765) 249-2244
Mailing address
6192 CHATSWORTH DR, WHITESTOWN, IN 46075-4484
(630) 956-3722
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10183770
IN
Other
Enumeration date
07/15/2025
Last updated
07/18/2025
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