Individual
MR. DAVID JONATHAN WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
28 BEECHWOOD RD, SUMMIT, NJ 07901-2532
(908) 273-9191
Mailing address
28 BEECHWOOD RD, SUMMIT, NJ 07901-2532
(908) 273-9191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC014788
NJ
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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