Organization
DYNAMIC BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON WAGNER LPC, LBA (MEMBER)
(573) 429-3761
Entity
Organization
Contact information
Practice address
RR 61 BOX 3030, NAYLOR, MO 63953-9414
(573) 429-3761
Mailing address
RR 61 BOX 3030, NAYLOR, MO 63953-9414
(573) 429-3761
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MO
Other
Enumeration date
07/15/2018
Last updated
07/15/2018
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