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Individual

MRS. BETSY HACKER WAHL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
158 N ADAMS AVE, SUITE 12, LEBANON, MO 65536-3021
(417) 588-2933
(417) 588-2375
Mailing address
23175 PARADISE DR, LEBANON, MO 65536-5146
(417) 532-5987
(417) 588-2375

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000080
MO

Other

Enumeration date
01/26/2006
Last updated
07/08/2007
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