Individual
DIANE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Mailing address
8222 S 48TH ST STE 200, PHOENIX, AZ 85044-5303
(520) 640-7189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089.0135916
VT
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/14/2014
Last updated
11/19/2025
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