SHANA HINTZ WISNIEWSKI

ROLLA, MO
NPI1366967960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2017027555)
Enumeration Date2017-08-04
Last Update Date2019-08-22
Business Address
SHANA HINTZ WISNIEWSKI LCSW
1000 W. 10TH ST.
ROLLA, MO 65401
Phone number: 573-458-7323
Mailing Address
SHANA HINTZ WISNIEWSKI LCSW
1050 W 10TH ST ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS
ROLLA, MO 65401-2905
Phone number: 573-364-9000