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Individual

CANDACE JEAN NEIS-WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3040 N 117TH ST STE 100, WAUWATOSA, WI 53222-4128
(414) 337-8988
(414) 479-0230
Mailing address
3040 N 117TH ST STE 100, WAUWATOSA, WI 53222-4128
(414) 337-8988
(414) 479-0230

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7566-123
WI

Other

Enumeration date
03/12/2010
Last updated
10/31/2023
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