Individual
ELIZABETH ANN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BM, MT-BC
Contact information
Practice address
839 W HERMOSA DR, WICKENBURG, AZ 85390-1247
(928) 679-3246
Mailing address
839 W HERMOSA DR, WICKENBURG, AZ 85390-1247
(928) 679-3246
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
07956
—
Other
Enumeration date
06/22/2012
Last updated
12/16/2023
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