Individual
DELICIA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-3187
(803) 278-0880
Mailing address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 641-7700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6103
SC
Other
Enumeration date
04/06/2015
Last updated
10/26/2016
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