BRANDAL J WAGENER

DAVENPORT, IA
NPI1760038475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IA  093843)
Enumeration Date2019-08-18
Last Update Date2023-02-26
Business Address
Mr. BRANDAL J WAGENER LMHC
4620 E 53RD ST STE 200
DAVENPORT, IA 52807-3627
Phone number: 224-216-4209
Mailing Address
Mr. BRANDAL J WAGENER LMHC
4620 E 53RD ST STE 200
DAVENPORT, IA 52807-3627
Phone number: 224-216-4209
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