Individual
MISS JANET MARGARET WAGNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 462-4451
Mailing address
272 1ST AVE, 2B, NEW YORK, NY 10009-1801
(212) 505-2470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RO25558-1
NY
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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