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Individual
KADY MAXWELL WISE
Active
Individual
KADY MAXWELL WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
83704
TX
101YP2500X
Professional Counselor
Primary
83704
TX
Other
Enumeration date
05/07/2020
Last updated
10/20/2022
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