Individual
CARISA BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5041 PAY IT FORWARD DR APT 104, CASPER, WY 82609-4496
(603) 726-1240
Mailing address
6 LIBERTY SQ # 2314, BOSTON, MA 02109-5800
(617) 468-7811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
08/15/2024
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