Individual
MR. JAMES M WAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-BACS
Contact information
Practice address
2203 NATCHITOCHES HWY, MANY, LA 71449-7342
(318) 602-9206
Mailing address
2203 NATCHITOCHES HWY, MANY, LA 71449-7342
(318) 602-9206
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6548
LA
Other
Enumeration date
06/20/2007
Last updated
07/23/2012
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