Individual
MR. DAN B WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
300 W VETERANS BLVD, BIG SPRING, TX 79720-5566
(432) 263-7361
(432) 264-4882
Mailing address
300 W VETERANS BLVD, BIG SPRING, TX 79720-5566
(432) 263-7361
(432) 264-4882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4667
TX
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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