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Individual

MS. ELIZABETH A WAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC-S

Contact information

Practice address
50 N BREIEL BLVD, MIDDLETOWN, OH 45042-3804
(513) 278-8448
Mailing address
50 N BREIEL BLVD, MIDDLETOWN, OH 45042-3804
(513) 278-8448

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E. 0501324
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E.501324
LPCC-S
OH
01
E0501324-SUPV
COUNSELING BOARD
OH
Enumeration date
04/11/2012
Last updated
08/28/2023
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