Individual
MS. LAURA MCCAULEY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7906 NEW LAGRANGE RD, LOUISVILLE, KY 40222
(502) 327-9233
(502) 327-0666
Mailing address
7906 NEW LAGRANGE RD, LOUISVILLE, KY 40222
(502) 327-9233
(502) 327-0666
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0804
KY
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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