Individual
MS. CHLOE VICTORIA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 JACKSON ST STE 119, ALEXANDRIA, LA 71303-3096
(318) 625-7050
(318) 625-7197
Mailing address
1107 SUNBURST LN # 1107, PINEVILLE, LA 71360-5879
(713) 249-2423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
11/24/2021
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