PAIGE ELIZABETH WAGNER
Individual Provider (NPI-1)
Active
Counselor
Provider Information
- NPI Number
1821934621- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 412 N MAIN ST, BUFFALO, WY, 828341754
- Phone
- (307) 217-2161
Specialties & Taxonomies
Counselor
Primary License: WY #PPC-1645
All Addresses
MAILING
412 N MAIN ST
BUFFALO, WY, 828341754