MRS. Jessica Ruth Wizman, LCSW

NPI #1669683538 in Leland, North Carolina

Provider Information

NPI Number
1669683538
Entity Type
Individual
Name
MRS. Jessica Ruth Wizman, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 24, 2007
Last Updated
Oct 18, 2010

Practice Location

Address
509 OLDE WATERFORD WAY
City
Leland
ZIP Code
28451-4125
Phone
(910) 632-4848

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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