Individual
SHARON WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
RR 61 BOX 3030, NAYLOR, MO 63953-9414
(573) 429-3761
Mailing address
RR 61 BOX 3030, NAYLOR, MO 63953-9414
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MO
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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