Individual
SARAH WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
6736 83RD LN SE, OLYMPIA, WA 98513-5685
(360) 977-0001
Mailing address
6736 83RD LN SE, OLYMPIA, WA 98513-5685
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61209669
WA
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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