JOSHUA SHANE WISEMAN

COLUMBUS, OH
NPI1669960449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LICDC.162064)
Enumeration Date2018-04-26
Last Update Date2020-09-17
Business Address
JOSHUA SHANE WISEMAN LICDC
4725 PARKWICK DR
COLUMBUS, OH 43228-6401
Phone number: 614-655-3354
Mailing Address
JOSHUA SHANE WISEMAN LICDC
4725 PARKWICK DR
COLUMBUS, OH 43228-6401
Phone number: 614-655-3354
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