Dakota Daniel Wagoner
NPI #1295479384 in Bainbridge, Ohio
Provider Information
- NPI Number
- 1295479384
- Entity Type
- Individual
- Name
- Dakota Daniel Wagoner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Apr 25, 2022
- Last Updated
- Apr 25, 2022
Practice Location
- Address
- 1071 TONG HOLLOW RD
- City
- Bainbridge
- State
- Ohio
- ZIP Code
- 45612-1500
- Phone
- (740) 313-0569
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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