PAUL WICKERSHAM

SPRINGFIELD, MO
NPI1497153977
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  2002020617)
Enumeration Date2014-12-15
Last Update Date2014-12-15
Business Address
-- PAUL WICKERSHAM M.S., L.P.C.
1675 E SEMINOLE ST SUITE H-2
SPRINGFIELD, MO 65804-2490
Phone number: 417-812-5263
Mailing Address
-- PAUL WICKERSHAM M.S., L.P.C.
PO BOX 496
WILLARD, MO 65781-0496
Phone number: 417-234-4423
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