Individual
DR. LAURA BETH WAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., HSPP
Contact information
Practice address
403 LARK CT APT F, CARMEL, IN 46032-1649
(317) 706-0353
Mailing address
403 LARK CT APT F, CARMEL, IN 46032-1649
(317) 706-0353
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042456A
IN
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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