SANDRA RENEE WAGNER

CORBIN, KY
NPI1376888396
Former NameSANDRA RENEE BRUNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-12-03
Last Update Date2012-12-03
Business Address
-- SANDRA RENEE WAGNER BS
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
Mailing Address
-- SANDRA RENEE WAGNER BS
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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