BENTON WAGNER

specializing in counselor in Fairfield, Idaho

NPI: 1346668852

Provider Type

1

Practice Locations

Mailing Location

PO BOX 424

FAIRFIELD, ID 83327

📞 6122479768

Practice Location

418 N RIVER ST

HAILEY, ID 83333

📞 6122479768

Provider Information

Gender:M
Sole Proprietor:Yes
Enumeration Date:4/1/2014
Last Updated:3/5/2024

Credentials

Primary Credential:
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