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1568212264
LANI WISE
SPRINGFIELD, MO
NPI
1568212264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2023042203)
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
LANI WISE
614 SOUTH AVE
SPRINGFIELD, MO 65806-3110
Phone number: 417-869-9011
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Mailing Address
LANI WISE
614 SOUTH AVE
SPRINGFIELD, MO 65806-3110
Phone number: 417-869-9011
Copy
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