Individual
ARIEL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
383 GRAND ST, NEW YORK, NY 10002-3905
(212) 539-0259
Mailing address
383 GRAND ST, NEW YORK, NY 10002-3905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
087606
NY
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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