MISS Courtney Dawn Wagner
NPI #1154682417 in Rock Springs, Wyoming
Provider Information
- NPI Number
- 1154682417
- Entity Type
- Individual
- Name
- MISS Courtney Dawn Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 4, 2012
- Last Updated
- Jun 4, 2012
Practice Location
- Address
- 2300 FOOTHILL BLVD
- City
- Rock Springs
- State
- Wyoming
- ZIP Code
- 82901-5610
- Phone
- (307) 352-6677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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