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Individual

KATHLEEN WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9909
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LW1012
SC
Enumeration date
08/21/2013
Last updated
02/27/2014
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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