Charles David Wise, LCSW

NPI #1689390684 in Odessa, Missouri

Provider Information

NPI Number: 1689390684
Entity Type: Individual
Name: Charles David Wise, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 12, 2022
Last Updated: Apr 22, 2025

Practice Location

Address: 1278 W US HIGHWAY 40
City: Odessa
State: Missouri
ZIP Code: 64076-9612
Phone: (844) 853-8937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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