Individual
DANIELLE CARRIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCGC
Contact information
Practice address
1 S PENN SQ, PHILADELPHIA, PA 19107-3400
(215) 873-2012
Mailing address
6 CONTINENTAL LN, MARLTON, NJ 08053-4606
(609) 206-0210
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
2002350
PA
Other
Enumeration date
03/01/2007
Last updated
05/28/2019
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