Individual
CANDICE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3100 BROADWAY ST, SUITE 218, KANSAS CITY, MO 64111-2658
(816) 753-1881
(816) 753-5551
Mailing address
3100 BROADWAY, SUITE 218, KANSAS CITY, MO 64111-2448
(816) 753-1881
(816) 753-5551
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013006138
MO
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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