Individual
LISA WAGNER-DAEGLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., PLPC
Contact information
Practice address
10176 CORPORATE SQUARE DR STE 100S, SAINT LOUIS, MO 63132-2924
(636) 346-4733
Mailing address
10176 CORPORATE SQUARE DR STE 100S, SAINT LOUIS, MO 63132-2924
(636) 346-4733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014037906
MO
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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