Individual
KRISTEN CORRIHER WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1807 E INNES ST, SALISBURY, NC 28146-6030
(704) 633-3616
Mailing address
1305 S CANNON BLVD, KANNAPOLIS, NC 28083-6232
(704) 939-1100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1707
NC
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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