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Individual

ALTHEA O. WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
14615 MANCHESTER RD STE 204, MANCHESTER, MO 63011-3790
(314) 527-0846
Mailing address
14615 MANCHESTER RD STE 204, MANCHESTER, MO 63011-3790
(314) 527-0846

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2003030551
MO

Other

Enumeration date
10/18/2006
Last updated
09/22/2022
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