Individual
KAREN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4717 SULLIVAN SLOUGH RD, BURLINGTON, IA 52601-9013
(319) 752-4000
Mailing address
PO BOX 82, LISBON, IA 52253-0082
(319) 936-3359
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0542
IA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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