Individual
EMILY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
14947 SANTA LUCIA DR, CHARLOTTE, NC 28277-3382
(602) 509-2747
Mailing address
14947 SANTA LUCIA DR, CHARLOTTE, NC 28277-3382
(602) 509-2747
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000923
PA
106H00000X
Marriage & Family Therapist
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Other
Enumeration date
09/14/2015
Last updated
09/25/2019
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