Individual
MS. MIRIAM DENISE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 THUNDERSTICK DR, LEXINGTON, KY 40505-9010
(859) 457-0797
Mailing address
2250 THUNDERSTICK DR, LEXINGTON, KY 40505-9010
(859) 254-1035
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/28/2016
Last updated
10/09/2024
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