Individual
DAWN WAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 SAND CREEK CIR, WRIGHT, WY 82732-5081
(307) 267-5370
Mailing address
PO BOX 1012, WRIGHT, WY 82732-1012
(307) 267-5370
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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