| Wisekidz Act Services | |
|
3510 W Stewarts Mill Rd Douglasville GA 30135-2471 | |
| (770) 947-6118 | |
| (770) 949-4069 |
| Full Name | Wisekidz Act Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3510 W Stewarts Mill Rd, Douglasville, Georgia |
| Authorized Official Name and Position | K. Nicole Wise (VICE PRESIDENT/EDUCATIONAL THERAPIS) |
| Authorized Official Contact | 6785985619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisekidz Act Services 3510 W Stewarts Mill Rd Douglasville GA 30135-2471 Ph: (770) 947-6118 | Wisekidz Act Services 3510 W Stewarts Mill Rd Douglasville GA 30135-2471 Ph: (770) 947-6118 |
| NPI Number | 1760670400 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760670400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
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