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Individual

DR. JAMES J. WISECUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.MIN.

Contact information

Practice address
53 W BANK LN, STAMFORD, CT 06902-1309
(203) 602-9969
(203) 602-2234
Mailing address
53 W BANK LN, STAMFORD, CT 06902-1309
(203) 602-9969
(203) 602-2234

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001142
CT

Other

Enumeration date
02/03/2011
Last updated
02/03/2011
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