Individual
FRANK F WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
900 N LAKE SHORE DR, CHICAGO, IL 60611-1500
(773) 398-7025
Mailing address
900 N LAKE SHORE DR, CHICAGO, IL 60611-1500
(773) 398-7025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149006169
IL
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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