BRIAN WAGNER

SPARTANBURG, SC
NPI1114333549
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-07-07
Last Update Date2014-07-07
Business Address
-- BRIAN WAGNER
250 DEWEY AVE
SPARTANBURG, SC 29303-3009
Phone number: 864-585-0366
Mailing Address
-- BRIAN WAGNER
250 DEWEY AVE
SPARTANBURG, SC 29303-3009
Phone number: 864-585-0366
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