Individual
EMILY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 YAUGER WAY SW, OLYMPIA, WA 98502-8660
(206) 328-5696
Mailing address
3615 49TH AVE SW SIDE A, OLYMPIA, WA 98512-6603
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WA
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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