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1013076819
AMY WACKER
PAOLA, KS
NPI
1013076819
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Former Name
AMY SCHROEDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KS LPC 845)
Enumeration Date
2006-12-07
Last Update Date
2013-02-11
Business Address
-- AMY WACKER LPC
25955 W 327TH ST
PAOLA, KS 66071-4920
Phone number: 913-557-9096
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Mailing Address
-- AMY WACKER LPC
PO BOX 677
OTTAWA, KS 66067-0677
Phone number: 913-557-9096
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