Individual
MR. DANIEL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-4302
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
124515
MA
1041C0700X
Clinical Social Worker
227135
MA
1041C0700X
Clinical Social Worker
Primary
I.2304266
OH
Other
Enumeration date
09/02/2021
Last updated
05/08/2023
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