JACOB WAGNER, LSP, ED.S

LSP, ED.S

School Psychologist

NPI: 1497590277Individual

Specialties, Licenses & Credentials

School Counselor

Counselor — School

Code: 101YS0200X

School PsychologistPrimary

Psychologist — School

Code: 103TS0200X

000748846(TN)

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Contact & Hours

Address: 2292 CHAMBLISS AVE NW STE C-2
CLEVELAND, TN 37311
Phone: (423) 479-5672

Quick Facts

NPI: 1497590277
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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