MARTINA WAGONER

PRESTONSBURG, KY
NPI1639612369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-11-29
Last Update Date2016-11-29
Business Address
-- MARTINA WAGONER
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
-- MARTINA WAGONER
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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