Individual
PAIGE ELIZABETH WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 N MAIN ST, BUFFALO, WY 82834-1754
(307) 217-2161
Mailing address
412 N MAIN ST, BUFFALO, WY 82834-1754
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1645
WY
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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