Individual
STEVEN EDWARD WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
1950 FOLK REAM RD, SPRINGFIELD, OH 45502-9605
(937) 314-0072
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
S 1502436
OH
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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