EDWINA WILDER

SPRINGFIELD, MO
NPI1417018904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  001832)
Enumeration Date2006-12-12
Last Update Date2007-07-09
Business Address
-- EDWINA WILDER LPC
1722 S GLENSTONE AVE STE TT
SPRINGFIELD, MO 65804-1517
Phone number: 417-881-2848
Mailing Address
-- EDWINA WILDER LPC
5336 W FARM ROAD 54
WILLARD, MO 65781-8223
Phone number:
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