Wisdom Therapy LLC

NPI #1386193654 in Salem, Missouri

Provider Information

NPI Number: 1386193654
Entity Type: Organization
Organization Name: Wisdom Therapy LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 28, 2016
Last Updated: Sep 28, 2016

Practice Location

Address: 201 N MAIN ST
City: Salem
State: Missouri
ZIP Code: 65560-1423
Phone: (573) 739-1289

Authorized Official

Name: TASHA LYNN WISDOM, LCSW
Title: ADMINISTRATOR/LCSW
Phone: (573) 247-2025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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