DR. IVY WAGNER, DBH, LCSW

Social Worker - Clinical

Active Individual
NPI: 1346754702

Practice Address

780 2ND ST SE STE 10
Bandon, OR 97411

Phone: (541) 329-2144

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes L11519 (OR)

Frequently Asked Questions

NPI 1346754702 is the National Provider Identifier for DR. IVY WAGNER, DBH, LCSW, a Social Worker - Clinical provider located in Bandon, OR. This NPI was enumerated on November 21, 2017.
DR. IVY WAGNER, DBH, LCSW practices at 780 2ND ST SE STE 10, Bandon, OR 97411.

Quick Facts

NPI
1346754702
Type
Individual
Enumerated
Nov 21, 2017
Last Updated
Aug 16, 2024

Nearby Providers