MS. Marcia Lynn Wagoner

NPI #1629552401 in Loogootee, Indiana

Provider Information

NPI Number
1629552401
Entity Type
Individual
Name
MS. Marcia Lynn Wagoner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Sep 18, 2018
Last Updated
Sep 18, 2018

Practice Location

Address
247 COUNTRY CT
State
Indiana
ZIP Code
47553-5199
Phone
(812) 295-6259

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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