Dorothy Wagner

NPI #1316306806 in Slc, Utah

Provider Information

NPI Number: 1316306806
Entity Type: Individual
Name: Dorothy Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 12, 2016
Last Updated: Feb 12, 2016

Practice Location

Address: 4460 S HIGHLAND DR
Address 2: 230
City: Slc
State: Utah
ZIP Code: 84124-3543
Phone: (888) 949-4864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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