Individual
KATHERINE ARMSTRONG WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 VERNE AVE, PORTSMOUTH, VA 23703
(757) 515-8304
Mailing address
3120 VERNE AVE, PORTSMOUTH, VA 23703-4734
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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