THEODORE LEE WAGENER

OKLAHOMA CITY, OK
NPI1780854059
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-03-03
Last Update Date2008-03-03
Business Address
Mr. THEODORE LEE WAGENER M.S.
940 NE 13TH ST
OKLAHOMA CITY, OK 73104-5008
Phone number: 405-271-4407
Mailing Address
Mr. THEODORE LEE WAGENER M.S.
940 NE 13TH ST
OKLAHOMA CITY, OK 73104-5008
Phone number:
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