VANCE WAGNER

LAKEWOOD, CO
NPI1164830451
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2014-07-30
Last Update Date2014-11-24
Business Address
-- VANCE WAGNER
12055 W 2ND PL
LAKEWOOD, CO 80228-1506
Phone number: 303-425-0300
Mailing Address
-- VANCE WAGNER
4851 INDEPENDENCE ST SUITE 200
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
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