Individual
CAREY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3 VIKEN DR, CHELMSFORD, MA 01824-4466
(978) 390-1831
Mailing address
3 VIKEN DR, CHELMSFORD, MA 01824-4466
(978) 390-1831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1031214-SW-LICSW
MA
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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