Individual
KARA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2651 W WASHINGTON BLVD, CHICAGO, IL 60612-2055
(773) 553-4748
Mailing address
5118 S MCVICKER AVE, CHICAGO, IL 60638-1423
(708) 571-5718
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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