STEPHANIE MARIE WAGNER

OMAHA, NE
NPI1154634806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: NY  019668)
Enumeration Date2010-07-23
Last Update Date2014-12-30
Business Address
-- STEPHANIE MARIE WAGNER PLMHP
444 S 44TH ST
OMAHA, NE 68131-3727
Phone number: 402-559-6408
Mailing Address
-- STEPHANIE MARIE WAGNER PLMHP
ONE PARK AVE, 7TH FLOOR
NEW YORK, NY 10016
Phone number: 646-754-5068