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1255664348
STEVEN L. WISE
JACKSONVILLE BEACH, FL
NPI
1255664348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY4575)
Enumeration Date
2009-09-08
Last Update Date
2009-09-08
Business Address
-- STEVEN L. WISE Psy.D.
482 JACKSONVILLE DR
JACKSONVILLE BEACH, FL 32250-3812
Phone number: 904-247-3600
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Mailing Address
-- STEVEN L. WISE Psy.D.
134 GLEN COVE PL
PONTE VEDRA BEACH, FL 32082-3637
Phone number: 904-994-0997
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