JASON LEIGH WAGNER

SIOUX CITY, IA
NPI1821427287
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IA  001550)
Enumeration Date2013-11-06
Last Update Date2013-11-06
Business Address
Mr. JASON LEIGH WAGNER L.M.H.C.
505 5TH ST. SUITE 520
SIOUX CITY, IA 51101
Phone number: 712-259-2681
Mailing Address
Mr. JASON LEIGH WAGNER L.M.H.C.
505 5TH ST. SUITE 520
SIOUX CITY, IA 51101
Phone number: 712-259-2681
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