Individual
KIMBERLY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1433 N WATER ST, MILWAUKEE, WI 53202-2557
(646) 453-6777
Mailing address
2005 S OGDEN ST, DENVER, CO 80210-4134
(920) 904-0922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
01/31/2024
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