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1851782965
LOUISE WISE
TUCKER, GA
NPI
1851782965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA RN211259)
Enumeration Date
2015-02-10
Last Update Date
2021-07-06
Business Address
LOUISE WISE DNP, PMHNP-BC
2206 HANFRED LN STE 103
TUCKER, GA 30084-4809
Phone number: 678-831-6429
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Mailing Address
LOUISE WISE DNP, PMHNP-BC
PO BOX 309
CLARKSTON, GA 30021-0309
Phone number:
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