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1053858050
GLENNA WILSON
COLUMBIA, MO
NPI
1053858050
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Former Name
GLENNA JOANN SHAFER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MO 2013015048)
Enumeration Date
2017-01-27
Last Update Date
2021-05-18
Business Address
GLENNA WILSON MSW, LCSW
3401 BERRYWOOD DR STE 300
COLUMBIA, MO 65201-6515
Phone number: 573-777-8330
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Mailing Address
GLENNA WILSON MSW, LCSW
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804-4264
Phone number: 417-761-5000
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