Crystal Danielle Wagner
NPI #1861236267 in Greenwell Springs, Louisiana
Provider Information
- NPI Number
- 1861236267
- Entity Type
- Individual
- Name
- Crystal Danielle Wagner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jun 20, 2024
- Last Updated
- Jun 20, 2024
Practice Location
- Address
- 6685 SULLIVAN RD
- State
- Louisiana
- ZIP Code
- 70739-3112
- Phone
- (225) 960-2403
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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