KELLI WAGNER

GOODYEAR, AZ
NPI1306604343
Former NameKELLI CARPENTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LPC-20244)
Enumeration Date2024-03-12
Last Update Date2024-03-12
Business Address
KELLI WAGNER LPC
15655 W ROOSEVELT ST STE 224
GOODYEAR, AZ 85338-9306
Phone number: 928-683-1720
Mailing Address
KELLI WAGNER LPC
15655 W ROOSEVELT ST STE 224
GOODYEAR, AZ 85338-9306
Phone number: 928-683-1720
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