Individual
MRS. PATRICIA W WODLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 W MAIN, PIERCE CITY, MO 65723-2100
(417) 476-1000
(417) 476-1081
Mailing address
805 HAMPTON PLACE ROAD, MONETT, MO 65708
(417) 235-6530
(417) 476-1081
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2009024397
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120411193148705
—
MO
Enumeration date
08/20/2009
Last updated
05/18/2012
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