Individual
MRS. HEATHER DEVAULT WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 PARAMOUNT PKWY, SUITE 300, MORRISVILLE, NC 27560-6949
(919) 674-2712
(919) 379-9039
Mailing address
3800 PARAMOUNT PKWY, SUITE 300, MORRISVILLE, NC 27560-6949
(919) 674-2712
(919) 379-9039
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3550
NC
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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