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1902660798
SCOTT WISEMAN
TITUSVILLE, FL
NPI
1902660798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
SCOTT WISEMAN M.S.
1825 JESS PARRISH CT
TITUSVILLE, FL 32796-2104
Phone number: 321-567-4460
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Mailing Address
SCOTT WISEMAN M.S.
3307 LAKE VIEW CIR
MELBOURNE, FL 32934-8376
Phone number: 679-309-6202
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