KIMBERLY WAGNER

BLOOMINGTON, IN
NPI1245352855
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC1900X Psychologist, Counseling
(Licence: IN  20042059A)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
Dr. KIMBERLY WAGNER Ph.D.
201 N ROSE AVE ROOM 32
BLOOMINGTON, IN 47405-1005
Phone number: 812-856-8572
Mailing Address
Dr. KIMBERLY WAGNER Ph.D.
2401 E 8TH ST
BLOOMINGTON, IN 47408-4212
Phone number:
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