Individual
ASHLEY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3200 WEST LIBERTY, ANN ARBOR, MI 48103
(734) 999-7425
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-6757
(734) 544-2906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094530
MI
Other
Enumeration date
04/09/2013
Last updated
07/21/2022
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