TINA SUZANNE WIESERT

INDIANAPOLIS, IN
NPI1801011069
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IN  34004969A)
Enumeration Date2007-04-14
Last Update Date2007-07-08
Business Address
TINA SUZANNE WIESERT
3171 N MERIDIAN ST
INDIANAPOLIS, IN 46208-4784
Phone number: 317-941-5010
Mailing Address
TINA SUZANNE WIESERT
3249 W 48TH ST
INDIANAPOLIS, IN 46228-2103
Phone number: 317-299-2748
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