Individual
ERICA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 W BUTLER RD, GREENVILLE, SC 29607-4833
(864) 757-9918
Mailing address
219 GERALD DR, SIMPSONVILLE, SC 29681-4111
(864) 757-9918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7589
SC
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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