Sean M. Wagner, LCP

NPI #1497852370 in Kingman, Kansas

Provider Information

NPI Number: 1497852370
Entity Type: Individual
Name: Sean M. Wagner, LCP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: LCP
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 760 W D AVE
City: Kingman
State: Kansas
ZIP Code: 67068-1266
Phone: (620) 532-3895

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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