Individual
DR. JANALEE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DSW, MSW, LICSW
Contact information
Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-5200
Mailing address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-5200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 00005189
WA
Other
Enumeration date
09/28/2010
Last updated
01/16/2020
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