Individual
DR. DANICA WAILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
192 EXPRESSWAY LN STE 240, BRANSON, MO 65616-7122
(417) 597-4309
Mailing address
192 EXPRESSWAY LN STE 240, BRANSON, MO 65616-7122
(417) 597-4309
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2015033117
MO
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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