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1366967960
SHANA HINTZ WISNIEWSKI
ROLLA, MO
NPI
1366967960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2017027555)
Enumeration Date
2017-08-04
Last Update Date
2019-08-22
Business Address
SHANA HINTZ WISNIEWSKI LCSW
1000 W. 10TH ST.
ROLLA, MO 65401
Phone number: 573-458-7323
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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
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