Individual
MS. SHIRLEY MARCEL WISE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW, LMSW, CSW
Contact information
Practice address
5340 HOLIDAY TER, KALAMAZOO, MI 49009-2196
(269) 372-4140
(260) 353-5649
Mailing address
8190 CONTINGO TER, KALAMAZOO, MI 49009-9654
(269) 372-4140
(269) 353-5649
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6801018350
MI
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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