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Primary Practice Address
1575 MARION AVE
MANSFIELD, OH 44906-3409 US
Accepts Medicare Payment

PECOS Enrolled

Blake Douglas Wagner

Psychologist


Blake Douglas Wagner

Overview

Blake Douglas Wagner is a Psychologist in the MANSFIELD area and has over 37 years of experience. Blake Douglas Wagner primary office location is at 1575 MARION AVE and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1988 The NPI number is 1013069061 and the information was updated approximately 17 years ago.

Blake Douglas Wagner is affiliated with one medical group in the MANSFIELD area, NEW DIRECTIONS EAP INC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1575 MARION AVE
MANSFIELD, OH 44906-3409 US
Phone: (419)-529-9941
Fax:
Practice Mailing Information
1575 MARION AVE
MANSFIELD, OH 44906-3409 US
Phone: (419)-529-9941
Fax: (419)-529-0496
License NumberState
I-4127OH

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