SAMUEL ELIAS WAGNER

SOUTH SALT LAKE, UT
NPI1285413138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041S0200X Social Worker, School
Enumeration Date2023-09-28
Last Update Date2023-09-28
Business Address
SAMUEL ELIAS WAGNER
177 W PRICE AVE
SOUTH SALT LAKE, UT 84115-4345
Phone number: 385-468-4500
Mailing Address
SAMUEL ELIAS WAGNER
2324 S GREEN ST APT L2
SALT LAKE CITY, UT 84106-1412
Phone number: