GINNA THERESE WAGNER

BALTIMORE, MD
NPI1073077210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  16987)
Enumeration Date2019-01-22
Last Update Date2019-01-22
Business Address
GINNA THERESE WAGNER LCSW-C
1118 LIGHT ST STE 200
BALTIMORE, MD 21230-4152
Phone number: 667-600-2870
Mailing Address
GINNA THERESE WAGNER LCSW-C
1118 LIGHT ST STE 200
BALTIMORE, MD 21230-4152
Phone number: 667-600-2870