Individual
MRS. CASEY WIKIERA
Active
Individual
MRS. CASEY WIKIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011024092
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011024092
DEPARTMENT OF PROFESSIONAL COUNSELORS
MO
Enumeration date
03/12/2018
Last updated
03/12/2018
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