Individual
CHELCY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S 13TH ST, LINCOLN, NE 68508-3533
(402) 475-5161
Mailing address
2633 P ST, LINCOLN, NE 68503-3528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/27/2021
Last updated
06/06/2024
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