Michal S Wagner, LMSW

NPI #1962739433 in Saco, Maine

Provider Information

NPI Number: 1962739433
Entity Type: Individual
Name: Michal S Wagner, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: Nov 4, 2009
Last Updated: Nov 4, 2009

Practice Location

Address: 50 MOODY ST
City: Saco
State: Maine
ZIP Code: 04072-1536
Phone: (800) 434-3000

Specialties & Taxonomy Codes

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

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