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Individual

LEAH WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1322 E WOODGATE, SPRINGFIELD, MO 65804
(469) 321-3298
Mailing address
1322 E WOODGATE ST, SPRINGFIELD, MO 65804-4241

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
71562
TX

Other

Enumeration date
01/24/2018
Last updated
01/24/2018
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