Individual
MRS. BREAH WHEELER WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
608 PINE ST, FARMINGTON, MO 63640-3020
(573) 756-6674
(573) 756-5579
Mailing address
41 COUNTY ROAD 94A, IRONTON, MO 63650-4154
(573) 631-5158
(573) 756-5579
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012008189
MO
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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