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Stephanie Wagner

NPI 1104291574 · on the registry since 2015 · sole proprietor

Practice

Address
1387 Fairport Rd
Fairport, NY 14450
Phone
(585) 641-0304
Organisation at this address
Nysarc Inc
Soulitudes Llc
Derleth Chiropractic Pllc
Fairport Psychiatric Associates
Casira Mental Health Counseling Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-12-09

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 New York