Tiffany Wynn Wagner LMFT

NPI 1255457479 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1255457479
Gender Female
Enumeration Date 03/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
602 E ACADEMY ST
205
FUQUAY VARINA NC, 27526-2302, US
Phone (919) 412-7321
Fax
Business Location
644 AIKEN PKWY
FUQUAY VARINA NC, 27526-2064, US
Phone (919) 412-7321
Fax
Toxanomy
Taxonomy Code 106H00000X
License State North Carolina
License Number 820
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According to our database, Ms. Tiffany Wynn Wagner LMFT NPI is 1255457479, taxonomy code is 106H00000X and license number is 820, license state is located at North Carolina. Tiffany Wynn Wagner LMFT physically located at 602 E Academy St, Fuquay Varina NC, 27526-2302. NPI Number Tiffany Wynn Wagner LMFT has the Individual type.

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1255457479 NPI number is provided on an as is basis without warranty of any kind. 1255457479 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Wynn Wagner LMFT are for informational purposes only.