JERRY MAIN WAGNER

UNION MILLS, NC
NPI1346995008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C018630)
Enumeration Date2022-02-21
Last Update Date2025-06-25
Business Address
JERRY MAIN WAGNER
1494 CAMP CREEK RD
UNION MILLS, NC 28167-7900
Phone number: 828-423-6886
Mailing Address
JERRY MAIN WAGNER
1494 CAMP CREEK RD
UNION MILLS, NC 28167-7900
Phone number: 828-423-6024