STACI R WICKERSHAM

SPRINGFIELD, MO
NPI1245886241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2023004758)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: MO  2019031610)
Enumeration Date2019-08-15
Last Update Date2025-12-02
Business Address
STACI R WICKERSHAM MSW, LCSW
1540 E EVERGREEN ST
SPRINGFIELD, MO 65803-4300
Phone number: 417-823-2900
Mailing Address
STACI R WICKERSHAM MSW, LCSW
1540 E EVERGREEN ST
SPRINGFIELD, MO 65803-4300
Phone number: 417-823-2900