ETHAN WISE

ST LOUIS PARK, MN
NPI1750251997
Professional NameETHAN E. WISE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-11-11
Last Update Date2025-11-11
Business Address
ETHAN WISE MA
4201 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416-4728
Phone number: 952-933-8900
Mailing Address
ETHAN WISE MA
4105 VERA CRUZ AVE N
MINNEAPOLIS, MN 55422-1724
Phone number: 612-444-1167
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