JENNIFER R WAGONER

DURANT, OK
NPI1700159860
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-02-20
Last Update Date2012-02-20
Business Address
-- JENNIFER R WAGONER
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
Mailing Address
-- JENNIFER R WAGONER
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
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