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Individual
MS. NANCY A WISEMAN
Active
Individual
MS. NANCY A WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002225
VA
106H00000X
Marriage & Family Therapist
071700125
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330017
TRICARE
—
05
—
5402794
—
VA
Enumeration date
07/03/2006
Last updated
04/23/2019
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