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Sean Wagner, LCP
NPI 1497852370 · on the registry since 2006 · sole proprietor
Practice
- Address
- 760 W D Ave
Kingman, KS 67068 - Phone
- (620) 532-3895
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas