Individual
JANET SUE WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMS
Contact information
Practice address
14534 US HIGHWAY 23, WAVERLY, OH 45690-9373
(740) 941-8003
Mailing address
200 E 7TH ST, WAVERLY, OH 45690-1645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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