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
ZIP Code
70739-3112
Phone
(225) 960-2403

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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