LORA NICOLE WILSON

KENNETT, MO
NPI1598305351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-01-09
Last Update Date2020-01-09
Business Address
LORA NICOLE WILSON
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-888-5925
Mailing Address
LORA NICOLE WILSON
1109 JONES ST
KENNETT, MO 63857-3824
Phone number: 573-888-5925
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