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Individual

DR. KATHRYN IRENE WAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
WASHINGTON DC VA MEDICAL CENTER 50 IRVING STREET NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
8305 ROANOKE AVE APT C, TAKOMA PARK, MD 20912-6278
(202) 725-7249

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1001313
DC

Other

Enumeration date
04/03/2018
Last updated
04/03/2018
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