Casey Layne Wise
NPI #1972028132 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1972028132
- Entity Type
- Individual
- Name
- Casey Layne Wise
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Aug 9, 2017
- Last Updated
- Aug 9, 2017
Practice Location
- Address
- 1044 N NARCISSUS AVE
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-1468
- Phone
- (918) 505-8209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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