KRISTINA WISE

FORT WAYNE, IN
NPI1720155492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34008004A)
Enumeration Date2006-11-29
Last Update Date2018-06-06
Business Address
KRISTINA WISE
203 W WAYNE ST STE 317
FORT WAYNE, IN 46802
Phone number: 260-333-9703
Mailing Address
KRISTINA WISE
203 W WAYNE ST STE 317
FORT WAYNE, IN 46802-3610
Phone number: 260-333-9703
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