MS. Denette Ann Wagner, LICSW

NPI #1548050156 in Shelton, Washington

Provider Information

NPI Number: 1548050156
Entity Type: Individual
Name: MS. Denette Ann Wagner, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: May 7, 2025
Last Updated: May 7, 2025

Practice Location

Address: 2321 W DAYTON AIRPORT RD
City: Shelton
State: Washington
ZIP Code: 98584-6319
Phone: (360) 426-4433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

Additional Practice Locations

7345 Linderson Way SW

Tumwater, WA, 98501-6504

(360) 725-8213

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