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1982132569
HYNETHIA NICOLE WISE
BATON ROUGE, LA
NPI
1982132569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-05-26
Last Update Date
2022-07-21
Business Address
HYNETHIA NICOLE WISE
422 COLONIAL DR
BATON ROUGE, LA 70806
Phone number: 225-292-5151
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Mailing Address
HYNETHIA NICOLE WISE
422 COLONIAL DR
BATON ROUGE, LA 70806-6505
Phone number: 225-292-5151
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