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Search › California › 106H00000X

Licia Wise, LMFT

NPI 1679005581 · on the registry since 2017 · sole proprietor

Practice

Address
21151 S Western Ave Ste 255
Torrance, CA 90501
Phone
(310) 919-6815
Organisation at this address
Amare Hospice
Margins Health
Forte Societal
Ziba Hospice, Llc
Shekinah Hospice Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California