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 3 years ago
Practice Location
1840 N 95TH AVE
SUITE 146
PHOENIX AZ, 85037-4444, US
Phone (623) 234-9811
Fax (623) 234-9815
Business Location
4747 N 7TH ST
SUITE 100
PHOENIX AZ, 85014-3653, US
Phone (602) 279-7655
Fax (602) 264-1806
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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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.