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1366198889
KATHERINE WISE
ORANGE PARK, FL
NPI
1366198889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH20132)
Enumeration Date
2022-02-23
Last Update Date
2022-02-23
Business Address
KATHERINE WISE
1726 KINGSLEY AVE
ORANGE PARK, FL 32073-4463
Phone number: 904-278-5644
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Mailing Address
KATHERINE WISE
1726 KINGSLEY AVE STE 2
ORANGE PARK, FL 32073-4411
Phone number: 904-278-5644
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