SHANNON MARIE WISEMAN

SANTA ROSA, CA
NPI1164696597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-04-16
Last Update Date2009-09-01
Business Address
-- SHANNON MARIE WISEMAN
3164 CONDO CT
SANTA ROSA, CA 95403-2557
Phone number: 707-523-2334
Mailing Address
-- SHANNON MARIE WISEMAN
341 IRWIN LN
SANTA ROSA, CA 95401-5603
Phone number: 707-576-7218