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1275080129
AGATHA ANN WISE
ORANGE, CA
NPI
1275080129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
106H00000X Marriage & Family Therapist
Enumeration Date
2016-09-08
Last Update Date
2022-08-30
Business Address
AGATHA ANN WISE
500 CITY PKWY W
ORANGE, CA 92868-2941
Phone number: 714-916-8601
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Mailing Address
AGATHA ANN WISE
500 CITY PKWY W
ORANGE, CA 92868-2941
Phone number: 714-916-8601
Copy
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