Individual
MR. DARYL EUGENE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7425 ASPEN CT # 102, TAKOMA PARK, MD 20912-5450
(301) 807-0867
Mailing address
7425 ASPEN CT # 102, TAKOMA PARK, MD 20912-5450
(301) 807-0867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15488
MD
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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