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Organization

PAULA WISDOM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAULA JEAN WISDOM LCSW (OWNER)
(573) 436-4809
Entity
Organization

Contact information

Practice address
11667 JINKERSON RD, POTOSI, MO 63664-3012
(573) 436-4809
Mailing address
11667 JINKERSON RD, POTOSI, MO 63664-3012
(573) 436-4809

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
11/05/2010
Last updated
01/03/2011
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