Individual
MR. MARK WOLF WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., P.C.C.-S
Contact information
Practice address
7300 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7159
(330) 433-2390
(330) 433-2391
Mailing address
7300 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7159
(330) 433-2390
(330) 433-2391
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0004085
OH
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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