Individual
DANIELLE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4 CORNERSTONE DR, LANGHORNE, PA 19047-1314
(215) 757-6916
Mailing address
509 KAVANAUGH RD, FAIRLESS HILLS, PA 19030-3010
(267) 342-0023
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW132986
PA
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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