Individual
MR. DESMON WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2553 WHITNEY AVE, HAMDEN, CT 06518-3021
(203) 584-7971
Mailing address
281 MAIN ST APT C3, FARMINGTON, CT 06032-2944
(860) 656-5491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4749
CT
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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