Individual
JULIA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
857 PERKIOMEN ST, PHILADELPHIA, PA 19130-2133
(609) 473-0456
Mailing address
857 PERKIOMEN ST, PHILADELPHIA, PA 19130-2133
(609) 473-0456
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW143108
PA
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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