STACI JAN WISEMILLER

GREENVILLE, NC
NPI1932483229
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-10-05
Last Update Date2013-09-09
Business Address
Mrs. STACI JAN WISEMILLER LCAS-P
2313 EXECUTIVE CIR SUITE C
GREENVILLE, NC 27834-3744
Phone number: 252-215-5700
Mailing Address
Mrs. STACI JAN WISEMILLER LCAS-P
2313 EXECUTIVE CIRCLE SUITE C
GREENVILLE, NC 27834
Phone number: 252-215-5700
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