Individual
BARBARA JO WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
700 N PINE ST, BURLINGTON, WI 53105-1472
(262) 342-5188
(844) 247-2735
Mailing address
1517 SARA CT, BURLINGTON, WI 53105-3200
(262) 352-9406
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6503-125
WI
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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