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Organization
WISDOM COUNSELING AND CONSULTATION
Active
Organization
WISDOM COUNSELING AND CONSULTATION
Active
Other names
Wisdom Counseling and Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
RICHELLE WISDOM (COUNSELOR)
(573) 259-7392
Entity
Organization
Contact information
Practice address
119 W 4TH ST, SALEM, MO 65560-1255
(573) 259-7392
Mailing address
117 W 4TH ST, SALEM, MO 65560-1255
(573) 259-7392
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490028330
—
MO
Enumeration date
12/10/2019
Last updated
12/10/2019
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