Individual
MRS. ANNE ELIZABETH WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6801 NASHVILLE RD, LANHAM, MD 20706-3762
(240) 328-8893
Mailing address
6801 NASHVILLE RD, LANHAM, MD 20706-3762
(240) 328-8893
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4401
MD
101YP2500X
Professional Counselor
PRC14187
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0541052 00
—
MD
Enumeration date
05/11/2012
Last updated
06/29/2012
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