Individual
PHYLLIS L WIGGINS-HORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7140 WORNALL RD, KANSAS CITY, MO 64114-1331
(816) 729-5803
Mailing address
714 SADDLE RIDGE CT, RAYMORE, MO 64083-8574
(816) 729-5803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20604183
MO
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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