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Individual

LISA YVETTE WISEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
610 E DIAMOND AVE STE 100, GAITHERSBURG, MD 20877-5321
(301) 840-3200
Mailing address
849 FAIRMOUNT AVE FL 5, TOWSON, MD 21286-2624

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/18/2026
Last updated
03/18/2026
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Product
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