Tara Wagner
Tara Wagner is a Counselor in Freehold, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.
- Licensed in
- NJ
- In the registry since
- 2022
Practice location Address checks out
2 Paragon Way Ste 800Freehold, NJ 07728-9573
Phone: (732) 393-8391
Fax: (732) 308-4500
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence 37AC00492700 (NJ) |
|---|
Record details
| NPI number | 1871243378 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 27, 2022 |
| Last updated in NPPES | March 27, 2022 |
| Certification date | March 27, 2022 |
| Mailing address | 2 Paragon Way Ste 800, Freehold, NJ 07728-9573 |
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