Amanda Wagner
NPI #1205478294 in Orland Park, Illinois
Provider Information
- NPI Number
- 1205478294
- Entity Type
- Individual
- Name
- Amanda Wagner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Oct 11, 2019
- Last Updated
- Oct 11, 2019
Practice Location
- Address
- 7021 W 153RD ST STE 5
- City
- Orland Park
- State
- Illinois
- ZIP Code
- 60462-5397
- Phone
- (708) 275-0934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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