SAMANTHA WAGNER
Social Worker
Active
Individual
NPI: 1124524608
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | Yes | - |
Frequently Asked Questions
NPI 1124524608 is the National Provider Identifier for SAMANTHA WAGNER, a Social Worker provider located in Rockford, IL. This NPI was enumerated on April 3, 2018.
SAMANTHA WAGNER practices at 8616 NORTHERN AVE, Rockford, IL 61107.
Quick Facts
- NPI
- 1124524608
- Type
- Individual
- Enumerated
- Apr 3, 2018
- Last Updated
- Apr 3, 2018
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