RAYMOND DALE WAGONER

SPRINGDALE, AR
NPI1740162056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  P2310007)
Enumeration Date2025-07-25
Last Update Date2025-07-25
Business Address
RAYMOND DALE WAGONER M.S., LPC
6815 ISAACS ORCHARD RD
SPRINGDALE, AR 72762-6324
Phone number: 479-301-6227
Mailing Address
RAYMOND DALE WAGONER M.S., LPC
3515 PASOFINO LOOP
SPRINGDALE, AR 72764-1767
Phone number:
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