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1073159539
JUSTIN M WISEMAN
KANSAS CITY, MO
NPI
1073159539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MO 2018037238)
Enumeration Date
2019-11-20
Last Update Date
2021-03-24
Business Address
JUSTIN M WISEMAN Psy.D.
401 E 19TH ST APT 1405
KANSAS CITY, MO 64108-1791
Phone number: 314-255-9594
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Mailing Address
JUSTIN M WISEMAN Psy.D.
401 E 19TH ST APT 1405
KANSAS CITY, MO 64108-1791
Phone number: 314-255-9594
Copy
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