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1043545197
PAMELA LEE WANTUCK
SPRINGFIELD, MO
NPI
1043545197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2005021042)
Enumeration Date
2009-10-07
Last Update Date
2010-04-28
Business Address
-- PAMELA LEE WANTUCK lcsw
440 S MARKET AVE
SPRINGFIELD, MO 65806-2026
Phone number: 417-225-2554
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Mailing Address
-- PAMELA LEE WANTUCK lcsw
440 S MARKET AVE
SPRINGFIELD, MO 65806-2026
Phone number: 417-225-2554
Copy
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