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1215332903
TED WUNDERLICH
SPRINGFIELD, MO
NPI
1215332903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MO 2014037346)
Enumeration Date
2014-10-24
Last Update Date
2014-10-24
Business Address
Dr. TED WUNDERLICH Psy.D.
2108 W VISTA ST
SPRINGFIELD, MO 65807-5918
Phone number: 417-597-4309
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Mailing Address
Dr. TED WUNDERLICH Psy.D.
2108 W VISTA ST
SPRINGFIELD, MO 65807-5918
Phone number: 417-597-4309
Copy
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