Individual
MS. IRENE MARGARET WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
7813 12TH AVE. NE, SEATTLE, WA 98115
(206) 524-9346
(206) 524-6657
Mailing address
7813 12TH AVE. NE, SEATTLE, WA 98115
(206) 524-9346
(206) 524-6657
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006143
WA
Other
Enumeration date
05/01/2007
Last updated
06/08/2017
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