Organization
SHELLY M OSSANA PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WISNESKI (BILLER)
(913) 963-0958
Entity
Organization
Contact information
Practice address
2804 FORUM BLVD # 3A, COLUMBIA, MO 65203-6661
(573) 289-8348
Mailing address
2804 FORUM BLVD # 3A, COLUMBIA, MO 65203-6661
(573) 289-8348
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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