Individual
JAMES DEREK WAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDS
Contact information
Practice address
318 E BASIN RD, NEW CASTLE, DE 19720-4200
(856) 245-0120
Mailing address
318 E BASIN RD, NEW CASTLE, DE 19720-4200
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
106592
DE
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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