Individual
MS. JANAI LYN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
162 COUNTY SERVICES RD, SUITE 100, ASHLAND CITY, TN 37015-1748
(615) 463-6166
(615) 463-6162
Mailing address
2309 OLD ASHLAND CITY RD, CLARKSVILLE, TN 37043-5102
(931) 906-3351
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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