SAMUEL ELIAS WAGNER

SOUTH SALT LAKE, UT
NPI1285413138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: UT  14236326-3502)
Enumeration Date2023-09-28
Last Update Date2026-03-31
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:
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