Ann Louise Wagner LCSW

NPI 1720223704 - Social Worker - 1041C0700X

NPI Details
NPI 1720223704
Gender Female
Enumeration Date 12/04/2008
Last Updated 12/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
828 S BASCOM AVE
SUITE 100
SAN JOSE CA, 95128-2651, US
Phone (408) 793-5959
Fax (408) 793-5955
Business Location
828 S BASCOM AVE
SUITE 100
SAN JOSE CA, 95128-2651, US
Phone (408) 793-5959
Fax (408) 793-5955
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number 20177
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According to our database, Ms. Ann Louise Wagner LCSW NPI is 1720223704, taxonomy code is 1041C0700X and license number is 20177, license state is located at California. Ann Louise Wagner LCSW physically located at 828 S Bascom Ave, San Jose CA, 95128-2651. NPI Number Ann Louise Wagner LCSW has the Individual type.

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1720223704 NPI number is provided on an as is basis without warranty of any kind. 1720223704 is maintained by the National Plan & Provider Enumeration System. The contents of Ann Louise Wagner LCSW are for informational purposes only.