Mark Wiseman

NPI #1710429550 in Ontario, Oregon

Provider Information

NPI Number: 1710429550
Entity Type: Individual
Name: Mark Wiseman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Nov 10, 2016
Last Updated: Nov 10, 2016

Practice Location

Address: 702 SUNSET DR
City: Ontario
State: Oregon
ZIP Code: 97914-3121
Phone: (541) 823-9041

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