BENJAMIN WAGNER

EDMOND, OK
NPI1982311056
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  LPCCANDIDATE11099)
Enumeration Date2022-10-28
Last Update Date2022-10-28
Business Address
BENJAMIN WAGNER
13707 FAIRHILL AVE
EDMOND, OK 73013-1946
Phone number: 405-412-3494
Mailing Address
BENJAMIN WAGNER
13707 FAIRHILL AVE
EDMOND, OK 73013-1946
Phone number: 405-412-3494
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