Individual
RYAN WISECARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW
Contact information
Practice address
1321 S JACKSON ST, SALEM, IN 47167-9730
(812) 280-2080
Mailing address
3536 NORTH HIGHLAND ROAD, SALEM, IN 47167
(812) 883-0784
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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