Lisa Elizabeth Wagner, LISW-S

NPI #1629182225 in Kenton, Ohio

Provider Information

NPI Number: 1629182225
Entity Type: Individual
Name: Lisa Elizabeth Wagner, LISW-S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW-S
Enumeration Date: Aug 19, 2006
Last Updated: Apr 7, 2025

Practice Location

Address: 111 W ESPY ST
City: Kenton
State: Ohio
ZIP Code: 43326-2117
Phone: (419) 679-5994

Specialties & Taxonomy Codes

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

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