Individual
DR. KARI L. WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1615 AUGUSTA RD, WEST COLUMBIA, SC 29169-5629
(803) 791-1511
(803) 791-1572
Mailing address
1615 AUGUSTA RD, WEST COLUMBIA, SC 29169-5629
(803) 791-1511
(803) 791-1572
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
953
SC
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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