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1154964401
CAROL ANN WISE
VANCOUVER, WA
NPI
1154964401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-18
Last Update Date
2019-10-18
Business Address
CAROL ANN WISE
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-397-8246
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Mailing Address
CAROL ANN WISE
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number:
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