Individual
MR. THOMAS C WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5300 W SAHARA AVE, SUITE #104, LAS VEGAS, NV 89146-0353
(702) 248-6290
(702) 248-4720
Mailing address
5300 W SAHARA AVE, SUITE #104, LAS VEGAS, NV 89146-0353
(702) 248-6290
(702) 248-4720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01761-C
NV
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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