Sydney L Wagner

NPI #1447982988 in Saint Joseph, Michigan

Provider Information

NPI Number: 1447982988
Entity Type: Individual
Name: Sydney L Wagner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jun 24, 2022
Last Updated: Jun 24, 2022

Practice Location

Address: 3950 HOLLYWOOD RD
City: Saint Joseph
State: Michigan
ZIP Code: 49085-9159
Phone: (269) 408-9156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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