Individual
KRISTIN NICOLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, CMSW
Contact information
Practice address
2021 SAINT MARYS AVE, OMAHA, NE 68102-2415
(402) 898-1697
Mailing address
2021 SAINT MARYS AVE, OMAHA, NE 68102-2415
(402) 898-1697
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
1894
NE
1041S0200X
School Social Worker
Primary
5440
NE
Other
Enumeration date
09/12/2018
Last updated
10/10/2024
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