Organization
WISE THERAPEUTIC SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIA WISE LICSW (SOCIAL WORKER)
(202) 427-7030
Entity
Organization
Contact information
Practice address
1100 H ST NW, WASHINGTON, DC 20005-5476
(202) 427-7030
Mailing address
1100 H ST NW STE 840, WASHINGTON, DC 20005-5969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740706316
—
DC
Enumeration date
01/15/2021
Last updated
10/04/2021
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