Individual
PATRICK JOSEPH WISOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
516 N ROLLING RD, CATONSVILLE, MD 21228-4140
(443) 846-0404
Mailing address
4686 S LEISURE CT, ELLICOTT CITY, MD 21043-6424
(240) 277-4913
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP14818
MD
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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