Individual
MIKAYLA LEIGHANN WICHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
302 CAMPUSVIEW DR STE 201, COLUMBIA, MO 65201-7506
(573) 328-2288
Mailing address
4616 SAINT CHARLES RD, COLUMBIA, MO 65201-6737
(417) 766-6076
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021021478
MO
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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