PAMELA LEE WANTUCK

SPRINGFIELD, MO
NPI1043545197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2005021042)
Enumeration Date2009-10-07
Last Update Date2010-04-28
Business Address
-- PAMELA LEE WANTUCK lcsw
440 S MARKET AVE
SPRINGFIELD, MO 65806-2026
Phone number: 417-225-2554
Mailing Address
-- PAMELA LEE WANTUCK lcsw
440 S MARKET AVE
SPRINGFIELD, MO 65806-2026
Phone number: 417-225-2554
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