Individual
KIRA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 SWARTHMORE AVE STE 5, LAKEWOOD, NJ 08701-4780
(215) 839-6144
Mailing address
131 BRIDGE ST APT 1311, PHOENIXVILLE, PA 19460-3677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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