Individual
ALLISON WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
126 E MAIN AVE, ZEELAND, MI 49464-1736
(616) 900-5001
Mailing address
126 E MAIN AVE, ZEELAND, MI 49464-1736
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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