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1417018904
EDWINA WILDER
SPRINGFIELD, MO
NPI
1417018904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 001832)
Enumeration Date
2006-12-12
Last Update Date
2007-07-09
Business Address
-- EDWINA WILDER LPC
1722 S GLENSTONE AVE STE TT
SPRINGFIELD, MO 65804-1517
Phone number: 417-881-2848
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Mailing Address
-- EDWINA WILDER LPC
5336 W FARM ROAD 54
WILLARD, MO 65781-8223
Phone number:
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