Individual
ERICA RHEA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1050 E RIVER RD STE 202, TUCSON, AZ 85718-5736
(520) 347-0052
Mailing address
4873 E COOPER ST, TUCSON, AZ 85711-3617
(520) 629-8343
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17719
AZ
Other
Enumeration date
10/12/2020
Last updated
08/09/2022
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