CHARLES T WISNESKI

COTTONWOOD, AZ
NPI1790833069
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LCSW-0714)
Enumeration Date2007-01-05
Last Update Date2007-07-08
Business Address
-- CHARLES T WISNESKI MSWLCSW
703 S MAIN ST STE 5
COTTONWOOD, AZ 86326-4615
Phone number: 928-634-0964
Mailing Address
-- CHARLES T WISNESKI MSWLCSW
515 CASNER DR
CLARKDALE, AZ 86324-3619
Phone number: 928-634-0964
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