MARK WAYNE WISEMAN

NAMPA, ID
NPI1376847269
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  3034)
Enumeration Date2011-01-06
Last Update Date2011-01-06
Business Address
-- MARK WAYNE WISEMAN LPC
2422 12TH AVE RD NUMBER 144
NAMPA, ID 83686-6300
Phone number: 208-919-9706
Mailing Address
-- MARK WAYNE WISEMAN LPC
2422 12TH AVE RD NUMBER 144
NAMPA, ID 83686-6300
Phone number: 208-919-9706
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