Individual
HAILEY REBECCA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N5682 COUNTY ROAD K, FOND DU LAC, WI 54937-7908
(877) 300-9101
(877) 300-9101
Mailing address
N5682 COUNTY ROAD K, FOND DU LAC, WI 54937-7908
(877) 300-9101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/30/2025
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