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Organization
WISDOM THERAPY LLC
Active
Organization
WISDOM THERAPY LLC
Active
Other names
Stepping Stones Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA LYNN WISDOM LCSW (ADMINISTRATOR/LCSW)
(573) 247-2025
Entity
Organization
Contact information
Practice address
201 N MAIN ST, SALEM, MO 65560-1423
(573) 739-1289
(573) 739-1165
Mailing address
419 COUNTY ROAD 734, CENTERVILLE, MO 63633-8309
(573) 247-2025
(573) 689-1391
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2005024364
MO
1041C0700X
Clinical Social Worker
Primary
2014018308
MO
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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