SUMMER WILDERMAN
Counselor
Active
Individual
NPI: 1861554800
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | - |
Frequently Asked Questions
NPI 1861554800 is the National Provider Identifier for SUMMER WILDERMAN, a Counselor provider located in Indianapolis, IN. This NPI was enumerated on December 15, 2006.
SUMMER WILDERMAN practices at 5502 E 16TH ST, Indianapolis, IN 46218.
Quick Facts
- NPI
- 1861554800
- Type
- Individual
- Enumerated
- Dec 15, 2006
- Last Updated
- Jul 8, 2007
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