Individual
ABIGAIL WAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
(918) 418-3691
Mailing address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/23/2019
Last updated
03/11/2024
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