KEITH L WILSON

SPRINGFIELD, MO
NPI1982949988
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  2012037415)
Enumeration Date2012-12-01
Last Update Date2015-02-17
Business Address
Mr. KEITH L WILSON MS, LPC
1330 E CHERRY ST # 12
SPRINGFIELD, MO 65802-3429
Phone number: 417-761-9598
Mailing Address
Mr. KEITH L WILSON MS, LPC
1330 E CHERRY ST # 12
SPRINGFIELD, MO 65802-3429
Phone number: 417-761-9598
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