Individual
CARLA LEIGH WISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
13230 BROOKLANE DR, HAGERSTOWN, MD 21742-1435
(301) 733-0330
(301) 733-4038
Mailing address
13121 BROOKLANE DR, HAGERSTOWN, MD 21742-1514
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6025
MD
Other
Enumeration date
02/27/2013
Last updated
01/18/2017
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