JORDAN ELAINE WAGNER

FREDERICK, MD
NPI1255906145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: MD  LGM810)
Enumeration Date2021-05-24
Last Update Date2021-05-24
Business Address
JORDAN ELAINE WAGNER LGMFT
2126 CAISSON RD
FREDERICK, MD 21702-6806
Phone number: 301-473-2197
Mailing Address
JORDAN ELAINE WAGNER LGMFT
11232 ANGLEBERGER RD
THURMONT, MD 21788-2503
Phone number: 443-605-7203