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Individual

TANIA WAGONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED

Contact information

Practice address
WILLIAM J WHITE EDUCATIONAL & BEHAVIORAL CONSULTING SER, 23 WEST ST., ASHLAND, NH 03217
(603) 968-7452
(603) 968-7455
Mailing address
2 ELK DR, BEDFORD, NH 03110-4621

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44491
NH

Other

Enumeration date
12/28/2020
Last updated
12/28/2020
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