MATTHEW D WAGNER

COLORADO SPRINGS, CO
NPI1174811798
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-07-17
Last Update Date2013-07-10
Business Address
Mr. MATTHEW D WAGNER
17 FARRAGUT AVE
COLORADO SPRINGS, CO 80909-5625
Phone number: 440-521-6007
Mailing Address
Mr. MATTHEW D WAGNER
4832 SWEETGRASS LN
COLORADO SPRINGS, CO 80922-2212
Phone number: 440-521-6007
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