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Individual

STEPHEN LEE WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ED.S.

Contact information

Practice address
38720 SALTWELL RD, LISBON, OH 44432-8303
(330) 424-9591
(330) 424-9481
Mailing address
38720 SALTWELL RD, LISBON, OH 44432-8303
(330) 424-9591
(330) 424-9481

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
KU1007163
OH

Other

Enumeration date
09/15/2015
Last updated
09/15/2015
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