Stacey Wagner
NPI 1780041582 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1862 N Louisville Ave
Tulsa, OK 74115 - Phone
- (918) 695-6774
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-25
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 Oklahoma