Individual
QUAASHIE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(202) 296-2404
Mailing address
3501 CARPENTER ST SE, WASHINGTON, DC 20020-2335
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
05/02/2023
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