Individual
MEGAN J WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
207 PRIMROSE LN, CAMDENTON, MO 65020-6995
(573) 421-2065
Mailing address
207 PRIMROSE LN, CAMDENTON, MO 65020-6995
(573) 421-2065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004024436
MO
Other
Enumeration date
09/06/2006
Last updated
08/24/2011
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