Individual
TERESA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 ROSEBUD LN, BILLINGS, MT 59101-6527
(406) 534-1755
Mailing address
1341 ROSEBUD LN, BILLINGS, MT 59101-6527
(406) 534-1755
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
31530
MT
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
04/24/2026
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