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1083127021
JULIET LATANYA WISE
HUNTSVILLE, AL
NPI
1083127021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 1325-3911c)
Enumeration Date
2017-11-13
Last Update Date
2017-11-13
Business Address
JULIET LATANYA WISE LICSW
2700 FAIRBANKS ST NW
HUNTSVILLE, AL 35816-2432
Phone number: 256-281-1737
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Mailing Address
JULIET LATANYA WISE LICSW
4607 GRIZZARD RD NW
HUNTSVILLE, AL 35810-3640
Phone number: 256-658-3457
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