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1164935078
JUSTINE ANN WISE
GOSHEN, IN
NPI
1164935078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IN 33008463A)
Enumeration Date
2017-11-14
Last Update Date
2017-11-14
Business Address
JUSTINE ANN WISE MSW, LSW, CSAYP
62226 COUNTY ROAD 15
GOSHEN, IN 46526-9438
Phone number: 574-875-5117
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Mailing Address
JUSTINE ANN WISE MSW, LSW, CSAYP
PO BOX 843
GOSHEN, IN 46527-0843
Phone number: 574-875-5117
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