Individual
MS. HEIDI RENEE' WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LSW
Contact information
Practice address
675 HILLSDOWNE RD, APT. D, WESTERVILLE, OH 43081-3322
(614) 542-9089
Mailing address
675 HILLSDOWNE RD, APT. D, WESTERVILLE, OH 43081-3322
(614) 542-9089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S-0018147
OH
221700000X
Art Therapist
Primary
94-160,CERTIFICATION
OH
Other
Enumeration date
05/23/2007
Last updated
09/11/2025
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