Individual
DIANE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11325 RANDOM HILLS RD STE 360, FAIRFAX, VA 22030-0972
(703) 646-1518
Mailing address
10911 ADARE DR, FAIRFAX, VA 22032-3105
(703) 646-1518
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006006
VA
Other
Enumeration date
07/09/2018
Last updated
08/27/2021
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