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Individual

BRIANNA WAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3835 CHESTNUT ST, EMMAUS, PA 18049-1830
(484) 232-5288
Mailing address
155 BROAD MOUNTAIN VIEW DR, JIM THORPE, PA 18229-9581
(484) 735-3268

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW027189
PA
1041C0700X
Clinical Social Worker
SW140198
PA

Other

Enumeration date
06/14/2023
Last updated
04/07/2026
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