SUSAN CAROL WAGNER

JOHNSTOWN, PA
NPI1134420185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: PA  SW004045E)
Enumeration Date2010-11-08
Last Update Date2010-11-08
Business Address
Mrs. SUSAN CAROL WAGNER LSW
1108 DITHRIDGE DR
JOHNSTOWN, PA 15905-1503
Phone number: 814-255-7907
Mailing Address
Mrs. SUSAN CAROL WAGNER LSW
1108 DITHRIDGE DR
JOHNSTOWN, PA 15905-1503
Phone number: 814-255-7907