Individual
CHARMAINE ANN WAGNER-BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
6570 SOSNA DR, FAIRFIELD, OH 45014-2279
(513) 942-3181
(513) 881-7183
Mailing address
5578 TALLAWANDA DR, FAIRFIELD, OH 45014-3356
(513) 942-3181
(513) 881-7183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1.0007534
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000074912
ANTHEM
OH
Enumeration date
01/27/2007
Last updated
07/08/2007
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