Landi Gayle Wagner, BS

NPI #1316112006 in Lamar, Colorado

Provider Information

NPI Number: 1316112006
Entity Type: Individual
Name: Landi Gayle Wagner, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BS
Enumeration Date: Apr 24, 2008
Last Updated: Oct 8, 2012

Practice Location

Address: 100 KENDALL DR
City: Lamar
State: Colorado
ZIP Code: 81052
Phone: (719) 336-7501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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