Individual
DR. SANDY ANNETTE WISECARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 3RD ST, LYNDEN, WA 98264-1408
(360) 389-3278
Mailing address
1156 RENE CT, BLAINE, WA 98230-9513
(360) 595-4821
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC70034740
WA
Other
Enumeration date
09/13/2025
Last updated
09/13/2025
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