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Organization

WONDERLAND EXPRESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONYA WACKER LPCC (LPCC)
(931) 338-3983
Entity
Organization

Contact information

Practice address
1009 E 9TH ST, HOPKINSVILLE, KY 42240-4201
(931) 338-3983
Mailing address
1028 WATERFORD CIR, CLARKSVILLE, TN 37040-2528
(931) 338-3983

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
03/06/2020
Last updated
03/06/2020
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