PATRICK JOSEPH WAGNER

LOUISVILLE, KY
NPI1053680082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  3950)
Enumeration Date2011-12-20
Last Update Date2024-02-05
Business Address
Mr. PATRICK JOSEPH WAGNER LCSW
1015 DORSEY LN
LOUISVILLE, KY 40223-2612
Phone number: 502-245-1576
Mailing Address
Mr. PATRICK JOSEPH WAGNER LCSW
1015 DORSEY LN
LOUISVILLE, KY 40223-2612
Phone number: 502-245-1576