Irene Cristina Wise, LP
NPI #1699515379 in Blaine, Washington
Provider Information
- NPI Number
- 1699515379
- Entity Type
- Individual
- Name
- Irene Cristina Wise, LP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- LP
- Enumeration Date
- May 29, 2024
- Last Updated
- Oct 25, 2024
Practice Location
- Address
- 288 MARTIN ST STE 100
- City
- Blaine
- State
- Washington
- ZIP Code
- 98230-4045
- Phone
- (360) 594-0767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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