Individual
CLARA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 NORTHAMPTON ST, EASTHAMPTON, MA 01027-1057
(413) 529-1764
Mailing address
123 N MAIN STREET, APARTMENT A, SOUTH DEERFIELD, MA 01373
(585) 455-4173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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