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1700955275
KENNETH F. WISE
DALLAS, TX
NPI
1700955275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 25783)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
Dr. KENNETH F. WISE Psy.D.
10300 N CENTRAL EXPY SUITE 320
DALLAS, TX 75231-8600
Phone number: 972-869-7391
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Mailing Address
Dr. KENNETH F. WISE Psy.D.
529 PARKVIEW LN
RICHARDSON, TX 75080-5116
Phone number: 972-869-7391
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