KELLY JEAN WISE

BROOKLYN, NY
NPI1073800108
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  73-07699)
Enumeration Date2011-07-10
Last Update Date2017-03-14
Business Address
-- KELLY JEAN WISE LCSW
60 PLAZA ST E SUITE 1G
BROOKLYN, NY 11238-5025
Phone number: 917-822-5045
Mailing Address
-- KELLY JEAN WISE LCSW
60 PLAZA ST E 1G
BROOKLYN, NY 11238-5025
Phone number: 917-822-5045
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