Individual
CAROLINE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1900 N GRANT ST STE 600, DENVER, CO 80203-4309
(970) 310-3406
Mailing address
1900 N GRANT ST STE 600, DENVER, CO 80203-4309
(970) 310-3406
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
30080
MN
1041C0700X
Clinical Social Worker
Primary
09930052
CO
Other
Enumeration date
07/19/2021
Last updated
04/30/2024
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