Individual
MR. CHRISTOPHER WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2014 WASHINGTON ST, NEWTON WELLESLEY HOSPITAL DEPARTMENT OF PSYCHIATRY, NEWTON, MA 02462-1607
(617) 243-6650
Mailing address
2014 WASHINGTON STREET, NEWTON-WELLSLEY HOSPITAL DEPARTMENT OF PSYCHIATRY, NEWTON, MA 02462
(617) 243-6650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110461
MA
Other
Enumeration date
03/09/2010
Last updated
02/01/2012
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