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Individual
MRS. SHARON RENEE WISE
Active
Individual
MRS. SHARON RENEE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
160873
OH
164W00000X
Licensed Practical Nurse
Primary
PN-090990
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/17/2017
Last updated
07/19/2022
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