Female

Amanda Wagner M.ED., ED.S., LMFT

Marriage & Family Therapist in Brandon, FL(View on Map)

Full Name

Amanda Wagner M.ED., ED.S., LMFT

NPI Number

1831576081

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/27/2015

Specialties

(Taxonomies)

Code

106H00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

MT2858

Contact
Information

Purpose

Mailing
Location

Address

3457 BROOK CROSSING DR
3457 BROOK CROSSING DR

City

Brandon
Brandon

State

FL
FL

Postal Code

33511-8181
33511-8181

Country

US
US

Telephone Number

(813) 767-8366
(813) 767-8366

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/27/2015

Provider Address

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