Individual
MATTHEW STEVEN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5820 YORK RD STE 201, BALTIMORE, MD 21212-3620
(410) 800-2169
Mailing address
2644 MILES AVE, BALTIMORE, MD 21211-3116
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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