MR. William Douglas Wagner, MSW, LCSW
NPI #1043594963 in North Port, Florida
Provider Information
- NPI Number
- 1043594963
- Entity Type
- Individual
- Name
- MR. William Douglas Wagner, MSW, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MSW, LCSW
- Enumeration Date
- Oct 11, 2011
- Last Updated
- Oct 11, 2011
Practice Location
- Address
- 2139 PALM CT
- City
- North Port
- State
- Florida
- ZIP Code
- 34287-5724
- Phone
- (859) 979-0160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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