Individual
MRS. CORRINE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
39 HADLEY RD STE 100, GREENVILLE, PA 16125-1239
(814) 550-4969
Mailing address
10370 THOMAS RD, ATLANTIC, PA 16111-1344
(814) 853-2358
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC017942
PA
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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