Carly Simone Wise
NPI #1255903415 in Munfordville, Kentucky
Provider Information
- NPI Number
- 1255903415
- Entity Type
- Individual
- Name
- Carly Simone Wise
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jul 15, 2021
- Last Updated
- Jul 15, 2021
Practice Location
- Address
- 103 E SOUTH ST
- City
- Munfordville
- State
- Kentucky
- ZIP Code
- 42765-9023
- Phone
- (270) 696-3181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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