GABRIEL CATHERINE WAGNER

PROVO, UT
NPI1366102071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  13058974-6018)
Enumeration Date2021-12-21
Last Update Date2023-05-01
Business Address
GABRIEL CATHERINE WAGNER
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
GABRIEL CATHERINE WAGNER
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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