Individual
MRS. ELIZABETH MAE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC
Contact information
Practice address
5984 S PRINCE ST STE 101, LITTLETON, CO 80120-2083
(303) 738-1021
Mailing address
4385 S BALSAM ST UNIT 7-201, DENVER, CO 80123-4603
(303) 895-7204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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