Individual
TAMBERLY KAY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 4TH AVE E, POLSON, MT 59860-2117
(406) 883-5541
Mailing address
48833 CROW DAM RD, RONAN, MT 59864-9223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-88188
MT
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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