Individual
MRS. KRISTINE BARBARA WAGNER-MACLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
421 NEBRASKA ST, STURGEON BAY, WI 54235-2249
(920) 746-2345
(920) 746-2439
Mailing address
421 NEBRASKA ST, P.O. BOX 670, STURGEON BAY, WI 54235-2249
(920) 746-2345
(920) 746-2439
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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