Individual
MS. SUSAN WISEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., NCSP, LMFT
Contact information
Practice address
25671 HILLVIEW CT, MUNDELEIN, IL 60060-9436
(847) 438-7878
Mailing address
329 WOODVIEW RD APT D, LAKE BARRINGTON, IL 60010-1775
(847) 438-7878
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
16600159
IL
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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