Individual
ANN M WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3253 CONGRESS AVE, SAGINAW, MI 48602-3106
(989) 793-4790
(989) 793-1641
Mailing address
3253 CONGRESS AVE, SAGINAW, MI 48602-3106
(989) 793-4790
(989) 793-1641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801069226
MI
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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