Individual
JODY LYNNE WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
124 N. FEDERAL AVENUE, MASON CITY, IA 50401
(641) 423-3864
(641) 423-3836
Mailing address
124 N. FEDERAL AVENUE, MASON CITY, IA 50401
(641) 425-1793
(641) 423-3836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007620
IA
Other
Enumeration date
08/27/2010
Last updated
05/02/2024
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