Individual
ANIYA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2029 E STELLA ST # 3, PHILADELPHIA, PA 19134-3631
(215) 789-0919
Mailing address
2029 E STELLA ST # 3, PHILADELPHIA, PA 19134-3631
(215) 789-0919
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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