Individual
MRS. BARBARA WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
722 FREMONT AVE, SOUTH PASADENA, CA 91030-2530
(626) 450-9414
(626) 577-9069
Mailing address
722 FREMONT AVE, SOUTH PASADENA, CA 91030-2530
(626) 450-9414
(626) 577-9069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LJ10623
CA
1041C0700X
Clinical Social Worker
Primary
10623
CA
Other
Enumeration date
07/28/2006
Last updated
11/11/2024
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