Individual
MR. WILLIAM GREGORY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1030 N POPLAR ST, CASPER, WY 82601-1378
(307) 261-5355
Mailing address
1030 N POPLAR ST, CASPER, WY 82601-1378
(307) 261-5355
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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