Carolyn Wagner

NPI #1164047072 in Wilmette, Illinois

Provider Information

NPI Number
1164047072
Entity Type
Organization
Organization Name
Carolyn Wagner
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jun 16, 2020
Last Updated
Jun 16, 2020

Practice Location

Address
1159 WILMETTE AVE STE 225
ZIP Code
60091-2653
Phone
(847) 728-8148

Authorized Official

Name
CAROLYN WAGNER
Title
PSYCHOTHERAPIST
Phone
(847) 728-8148

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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