Individual
CHRISTINE MICHELLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2707 E 21ST ST N, WICHITA, KS 67214-2249
(316) 691-0249
(866) 514-0974
Mailing address
807 N WACO AVE STE 11, WICHITA, KS 67203-3971
(316) 776-4360
(316) 440-7054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
05354
KS
1041C0700X
Clinical Social Worker
Primary
05354
KS
Other
Enumeration date
07/07/2018
Last updated
04/23/2025
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