Individual
ABBY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 N COURT ST, WESTMINSTER, MD 21157-5192
(410) 751-3000
Mailing address
2312 PIN OAK DR, FINKSBURG, MD 21048-2513
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CER-156796-H0V2J0
MD
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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