Individual
CARINA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 NORTHEAST DR, SUITE 201, DAVIDSON, NC 28036-7416
(704) 896-7776
Mailing address
903 NORTHEAST DR, SUITE 201, DAVIDSON, NC 28036-7416
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/15/2009
Last updated
11/15/2009
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