Individual
SARAH WAGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-LMHC
Contact information
Practice address
4620 E 53RD ST STE 200, DAVENPORT, IA 52807-3627
(563) 223-8118
Mailing address
4620 E 53RD ST STE 200, DAVENPORT, IA 52807-3627
(563) 223-8118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
117992
IA
Other
Enumeration date
02/07/2023
Last updated
03/03/2023
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