Individual
MRS. ANGELA MARIE WAGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 WAGERS RD, LILY, KY 40740-3374
(606) 864-3147
Mailing address
85 WAGERS RD, LILY, KY 40740-3374
(606) 864-3147
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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