Individual
ANNE H. WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
4901 MAIN ST, STE. 401, KANSAS CITY, MO 64112-2646
(816) 753-7071
(816) 753-8189
Mailing address
4901 MAIN ST, STE. 401, KANSAS CITY, MO 64112-2646
(816) 753-7071
(816) 753-8189
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2005009318
MO
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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