CARLY A WAGNER

PARK CITY, UT
NPI1588300180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-05-07
Last Update Date2026-05-22
Business Address
CARLY A WAGNER
750 ROUND VALLEY DR STE 201
PARK CITY, UT 84060-7549
Phone number: 503-352-7333
Mailing Address
CARLY A WAGNER
2636 E STRINGHAM AVE APT A201
SALT LAKE CITY, UT 84109-3948
Phone number: 941-301-1898
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