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1881021160
BRIAN WISE
KANSAS CITY, MO
NPI
1881021160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2011027078)
Enumeration Date
2013-10-02
Last Update Date
2013-10-02
Business Address
-- BRIAN WISE LCSW
300 W 19TH TER
KANSAS CITY, MO 64108-2026
Phone number: 816-404-5720
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Mailing Address
-- BRIAN WISE LCSW
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number: 816-404-5720
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