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1013444553
KATIE WISEMAN
COLTON, CA
NPI
1013444553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-05-15
Last Update Date
2017-05-15
Business Address
KATIE WISEMAN
1461 E COOLEY DR STE 100
COLTON, CA 92324-3921
Phone number: 877-527-7227
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Mailing Address
KATIE WISEMAN
1150 HOLLY LN
CALIMESA, CA 92320-1520
Phone number: 909-557-4549
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