Individual
JOY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
150 MILLER ST, JUNEAU, WI 53039-1320
(920) 214-3733
Mailing address
150 MILLER ST, JUNEAU, WI 53039-1320
(920) 214-3733
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1245124
WI
Other
Enumeration date
11/30/2016
Last updated
12/07/2021
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