Kristen Ann Wagner, LCSW, LCSW-R
NPI #1144269846 in Shepherdsville, Kentucky
Provider Information
- NPI Number
- 1144269846
- Entity Type
- Individual
- Name
- Kristen Ann Wagner, LCSW, LCSW-R
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, LCSW-R
- Enumeration Date
- Jun 6, 2006
- Last Updated
- Jul 24, 2012
Practice Location
- Address
- 183 NIGHTINGALE WAY
- City
- Shepherdsville
- State
- Kentucky
- ZIP Code
- 40165-6329
- Phone
- (518) 210-4735
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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