Individual
JULIE LYNN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 E MAIN ST, PIERCE, NE 68767-1657
(402) 841-7273
Mailing address
420 E MAIN ST, PIERCE, NE 68767-1657
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
NE
Other
Enumeration date
11/06/2025
Last updated
11/07/2025
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