Individual
EMILY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 EASTRIDGE CTR, EAU CLAIRE, WI 54701-3403
(715) 635-4858
Mailing address
PO BOX 68, MENOMONIE, WI 54751-0068
(715) 635-4858
(715) 235-2688
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8140-226
WI
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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