Individual
ASHLYNN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2585 OLD GLORY RD UNIT 109, CLEMMONS, NC 27012-9276
(336) 510-7910
(336) 510-9974
Mailing address
2585 OLD GLORY RD UNIT 109, CLEMMONS, NC 27012-9276
(336) 510-7910
(336) 510-9974
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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