Individual
MRS. EMILY NICOLE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
13637 SE 94TH ST, OKLAHOMA CITY, OK 73165-4633
(405) 821-6447
Mailing address
13637 SE 94TH ST, OKLAHOMA CITY, OK 73165-4633
(405) 821-6447
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5665
OK
Other
Enumeration date
03/25/2011
Last updated
02/29/2016
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