JOAN E WISE

PUEBLO, CO
NPI1134361009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  2935)
Enumeration Date2009-03-24
Last Update Date2009-03-24
Business Address
-- JOAN E WISE MA, CAC III
310 W C ST
PUEBLO, CO 81003-3409
Phone number: 719-296-1366
Mailing Address
-- JOAN E WISE MA, CAC III
310 W C ST
PUEBLO, CO 81003-3409
Phone number: 719-296-1366
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