ALLISON JADE WAGNER

FREDERICK, MD
NPI1609418631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MD  LGP9945)
Enumeration Date2019-10-10
Last Update Date2019-10-10
Business Address
ALLISON JADE WAGNER LGPC
124 N COURT ST
FREDERICK, MD 21701-6614
Phone number: 301-304-7108
Mailing Address
ALLISON JADE WAGNER LGPC
222 S RALEIGH ST
MARTINSBURG, WV 25401-2637
Phone number: 304-671-5109
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