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1487826459
LISA DIANNE WENGER
WENTZVILLE, MO
NPI
1487826459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2008008554)
Enumeration Date
2008-03-29
Last Update Date
2019-12-05
Business Address
Mrs. LISA DIANNE WENGER LPC
600 MEDICAL DR
WENTZVILLE, MO 63385-3426
Phone number: 636-327-1332
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Mailing Address
Mrs. LISA DIANNE WENGER LPC
1531 E SUNSHINE ST STE W29
SPRINGFIELD, MO 65804-1237
Phone number: 417-887-9550
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