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1477645471
MARK WISE
COLUMBUS, GA
NPI
1477645471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY000818)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
Dr. MARK WISE Psy.D.
3000 SCHATULGA RD BLDG 5
COLUMBUS, GA 31907-3117
Phone number: 706-568-5216
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Mailing Address
Dr. MARK WISE Psy.D.
4989 POST ROAD PASS
STONE MOUNTAIN, GA 30088-2007
Phone number: 770-469-6754
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