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1023139219
LISA MARIE WYSOCKI
INDIANAPOLIS, IN
NPI
1023139219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: IN 533007)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
Miss LISA MARIE WYSOCKI
8930 EMPERORS CT
INDIANAPOLIS, IN 46234-9599
Phone number: 316-271-9356
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Mailing Address
Miss LISA MARIE WYSOCKI
8930 EMPERORS CT
INDIANAPOLIS, IN 46234-9599
Phone number: 316-271-9356
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