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1992201412
ANNA WISE
DALLAS, TX
NPI
1992201412
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Former Name
ANNA MCKISSACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 112574)
Enumeration Date
2018-04-03
Last Update Date
2018-04-03
Business Address
ANNA WISE MS, CCC-SLP
5012 WENONAH DR
DALLAS, TX 75209-4833
Phone number: 662-574-3861
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Mailing Address
ANNA WISE MS, CCC-SLP
5012 WENONAH DR
DALLAS, TX 75209-4833
Phone number: 662-574-3861
Copy
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