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Individual

SETH WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
RR 61 BOX 3030, NAYLOR, MO 63953-9414
(573) 429-1518
Mailing address
RR 61 BOX 3030, NAYLOR, MO 63953-9414

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/19/2018
Last updated
07/19/2018
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