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Lori Suzanne Wise, LCADC
Professional Counselor in Baltimore, Maryland
NPI 1689829772

Lori Suzanne Wise is a Professional Counselor based in Baltimore, MD and is specialized in Professional. Lori Suzanne Wise practices in Baltimore, MD and has the professional credentials of LCADC. The NPI Number for Lori Suzanne Wise is 1689829772 and holds a License No. LCA300 (Maryland).

The current practice location address for Lori Suzanne Wise is 4940 Eastern Ave, Baltimore, MD and can be reached out via phone at 410-550-0100.

Location: 4940 Eastern Ave, Baltimore, MD, 21264-4260
person
Provider Profile Details
NPI Number
1689829772
Provider Name
Lori Suzanne Wise
Credential
LCADC
Provider Entity Type
Individual
Gender
Female
Address
4940 Eastern Ave, Baltimore, MD, 21264-4260
Phone Number
410-550-0100
Fax Number
Provider Enumeration Date
11/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4940 Eastern Ave
City
State
Zip
21224-2735
Phone Number
410-550-0100
Fax Number
person
Provider Business Mailing Address Details
Address
4940 Eastern Ave
City
State
Zip
21224-2735
Phone Number
410-550-0100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCA300 (Maryland)
Definition
Definition to come...
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