Organization
KATHLEEN J WAGNER LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN WAGNER LCSW (DIRECTOR)
(406) 245-1338
Entity
Organization
Contact information
Practice address
820 DIVISION ST, BILLINGS, MT 59101-2049
(406) 245-1338
(406) 294-5226
Mailing address
PO BOX 2252, BILLINGS, MT 59103-2252
(406) 245-1338
(406) 294-5226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
785
MT
Other
Enumeration date
02/22/2013
Last updated
03/18/2013
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