| Paula Wisdom, Llc | |
|
11667 Jinkerson Rd Potosi MO 63664-3012 | |
| (573) 436-4809 | |
| Not Available |
| Full Name | Paula Wisdom, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11667 Jinkerson Rd, Potosi, Missouri |
| Authorized Official Name and Position | Paula Jean Wisdom (OWNER) |
| Authorized Official Contact | 5734364809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paula Wisdom, Llc 11667 Jinkerson Rd Potosi MO 63664-3012 Ph: (573) 436-4809 | Paula Wisdom, Llc 11667 Jinkerson Rd Potosi MO 63664-3012 Ph: (573) 436-4809 |
| NPI Number | 1689975724 |
|---|---|
| Provider Enumeration Date | 11/05/2010 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689975724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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