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1720155492
KRISTINA WISE
FORT WAYNE, IN
NPI
1720155492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34008004A)
Enumeration Date
2006-11-29
Last Update Date
2018-06-06
Business Address
KRISTINA WISE
203 W WAYNE ST STE 317
FORT WAYNE, IN 46802
Phone number: 260-333-9703
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Mailing Address
KRISTINA WISE
203 W WAYNE ST STE 317
FORT WAYNE, IN 46802-3610
Phone number: 260-333-9703
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