Individual
MICHAEL RALPH WISELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
1776 S PALO VERDE AVE APT B103, TUCSON, AZ 85713-2308
(520) 323-5677
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-13021
AZ
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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