Holly Sunset Wagner

NPI 1356783120 - Counselor - 101YM0800X

NPI Details
NPI 1356783120
Gender Female
Enumeration Date 07/22/2013
Last Updated 07/22/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
1840 N 95TH AVE
PHOENIX AZ, 85037-4444, US
Phone (623) 234-9811
Fax (623) 234-9815
Business Location
4747 N 7TH ST
PHOENIX AZ, 85014-3653, US
Phone (602) 279-7655
Fax (602) 264-1806
Taxonomy Code 101YM0800X
License State
License Number
Remove 1356783120 NPI Number

According to our database, Holly Sunset Wagner NPI is 1356783120, taxonomy code is 101YM0800X Holly Sunset Wagner physically located at 1840 N 95th Ave, Phoenix AZ, 85037-4444. NPI Number Holly Sunset Wagner has the Individual type.

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1356783120 NPI number is provided on an as is basis without warranty of any kind. 1356783120 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Sunset Wagner are for informational purposes only.