Individual
BRIAN JOSEPH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
55 E LOOP RD STE 301, WHEATON, IL 60189-1938
(630) 428-7890
(630) 428-7891
Mailing address
55 E LOOP RD STE 301, WHEATON, IL 60189-1938
(630) 428-7890
(630) 428-7891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149025667
IL
Other
Enumeration date
09/13/2023
Last updated
04/23/2026
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