Individual
DENISE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
165 SCOTT AVE, SUITE 208, MORGANTOWN, WV 26508-8839
(304) 292-1716
Mailing address
165 SCOTT AVE, SUITE 208, MORGANTOWN, WV 26508-8839
(304) 292-1716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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