Most Relevant Information
Provider Data
| NPI Number: | 1003697699 |
| Provider Name: | LILLIAN WETZEL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/10/2023 |
| Last Updated: | 10/10/2023 |
Provider Practice Location
7108 S KANNER HWY
STUART
FL
349977462
Practice Location Phone/Fax
| Phone: | 8558326927 |
| Fax: |
Provider Mailing Location
310 W JEFFERSON ST
PULASKI
TN
384782709
Provider Mailing Phone/Fax
| Phone: | 9319982453 |
| Fax: |