Individual
ELISABETH ANN WAGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1901 N HARRISON AVE STE 100, CARY, NC 27513-5597
(919) 677-0101
Mailing address
5946 SHADY GROVE CIR, RALEIGH, NC 27609-4178
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P017531
NC
1041C0700X
Clinical Social Worker
P017531
NC
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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