Grace Lora Wetzel

NPI #1427763374 in Odenton, Maryland

Provider Information

NPI Number: 1427763374
Entity Type: Individual
Name: Grace Lora Wetzel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 16, 2023
Last Updated: Jan 17, 2023

Practice Location

Address: 2288 BLUE WATER BLVD STE 310
City: Odenton
State: Maryland
ZIP Code: 21113-3301
Phone: (844) 854-1116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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