Individual
MS. CANDICE WAGENKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLCSW
Contact information
Practice address
100 S LIMIT AVE, SEDALIA, MO 65301-3655
(660) 826-7909
(660) 826-6737
Mailing address
100 S LIMIT AVE, SEDALIA, MO 65301-3655
(660) 826-7909
(660) 826-6737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008036911
MO
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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