Individual
MRS. ROSE LEIGH WIGODNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2211 CHARLOTTE, KANSAS CITY, MO 64108
(816) 404-6353
(816) 404-6347
Mailing address
10930 TRACY AVE, KANSAS CITY, MO 64131
(816) 941-0043
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003423
MO
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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