Individual
MR. ROGER ROBERT WOHLDMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CASAC
Contact information
Practice address
214 CHURCH ST, O FALLON, MO 63366-2814
(314) 703-2721
Mailing address
214 CHURCH ST, O FALLON, MO 63366-2814
(314) 703-2721
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1999143405
MO
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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