JACKIE WISEMAN

BROOKINGS, OR
NPI1184486441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-01-23
Last Update Date2024-01-23
Business Address
JACKIE WISEMAN
615 5TH ST # 300
BROOKINGS, OR 97415-9199
Phone number: 877-408-8941
Mailing Address
JACKIE WISEMAN
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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