Individual
KAITLYN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
24560 SOUTHPOINT DR STE 260, ALDIE, VA 20105-3505
(571) 248-7472
Mailing address
2501N GLEBE ST., STE 303, ARLINGTON, VA 22207
(703) 841-1290
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0903004522
VA
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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