Individual
ELIZABETH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 W GREGORY BLVD STE 120, KANSAS CITY, MO 64114-1145
(913) 346-1516
Mailing address
7223 W 95TH ST STE 220, OVERLAND PARK, KS 66212-6195
(913) 346-1516
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2024014792
MO
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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