VIRGINIA WAGNER

Social Worker - Clinical

Active Individual
NPI: 1225539398

Practice Address

400 N PLEASANT AVE
Centralia, IL 62801

Phone: (618) 437-8692

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 149.006812 (IL)

Frequently Asked Questions

NPI 1225539398 is the National Provider Identifier for VIRGINIA WAGNER, a Social Worker - Clinical provider located in Centralia, IL. This NPI was enumerated on February 23, 2018.
VIRGINIA WAGNER practices at 400 N PLEASANT AVE, Centralia, IL 62801.

Quick Facts

NPI
1225539398
Type
Individual
Enumerated
Feb 23, 2018
Last Updated
Feb 23, 2018

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