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Individual

MRS. LINDA M WAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
4055 FABER PLACE DR STE 300, NORTH CHARLESTON, SC 29405-8524
(614) 487-8758
(614) 227-9447
Mailing address
1801 WATERMARK DR STE 200, COLUMBUS, OH 43215-7088
(614) 487-8758
(614) 227-9447

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
12/15/2005
Last updated
04/14/2020
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