Individual
CHEYENNE NICOLE WAGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5168 BROWNS CREEK RD, SAINT ALBANS, WV 25177-8775
(304) 951-3194
Mailing address
5168 BROWNS CREEK RD, SAINT ALBANS, WV 25177-8775
(304) 951-3194
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
F721332
WV
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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