Individual
CHRISTIE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 PIN OAK PL, FRANKFORT, KY 40601-4251
(502) 319-4448
Mailing address
202 PIN OAK PL, FRANKFORT, KY 40601
(502) 319-4448
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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