Individual
MRS. PRUDENCE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2634 HIGHWAY 109 STE E, WILDWOOD, MO 63040-1160
(636) 271-5571
Mailing address
312 TIMBER MEADOW DR, WILDWOOD, MO 63011-1991
(330) 501-1787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2020036182
MO
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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