Individual
COURTNEY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
512 W 13TH ST, LARNED, KS 67550-2027
(720) 354-6707
Mailing address
512 W 13TH ST, LARNED, KS 67550-2027
(720) 354-6707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11712
KS
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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