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1245353655
GAIL PETERSON WISE
GRETNA, LA
NPI
1245353655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 3043)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
-- GAIL PETERSON WISE LCSW
401 WHITNEY AVE 210
GRETNA, LA 70056-2558
Phone number: 504-368-2545
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Mailing Address
-- GAIL PETERSON WISE LCSW
401 WHITNEY AVE 210
GRETNA, LA 70056-2558
Phone number: 504-368-2545
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