Traci E Willis-Wagner, LISW

NPI #1427576842 in Ontario, Ohio

Provider Information

NPI Number: 1427576842
Entity Type: Individual
Name: Traci E Willis-Wagner, LISW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LISW
Enumeration Date: Sep 6, 2017
Last Updated: Nov 8, 2023

Practice Location

Address: 2267 VILLAGE MALL DR
City: Ontario
State: Ohio
ZIP Code: 44906-1369
Phone: (419) 951-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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