MARK E WAGNER

NORFOLK, NE
NPI1134488752
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  p-1144)
Enumeration Date2012-05-16
Last Update Date2014-07-14
Business Address
-- MARK E WAGNER PLADC
900 W NORFOLK AVE
NORFOLK, NE 68701-5006
Phone number: 402-370-3140
Mailing Address
-- MARK E WAGNER PLADC
900 W NORFOLK AVE
NORFOLK, NE 68701-5006
Phone number: 402-370-3140
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