Patricia H Wise, LCSW

NPI #1023187150 in Evergreen, Colorado

Provider Information

NPI Number: 1023187150
Entity Type: Individual
Name: Patricia H Wise, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Nov 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2942 EVERGREEN PKWY
Address 2: SUITE 302
City: Evergreen
State: Colorado
ZIP Code: 80439-7909
Phone: (303) 679-6106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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