KRISTEN ANN WAGNER

SHEPHERDSVILLE, KY
NPI1144269846
Former NameKRISTEN A CARTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R058112-1)
Enumeration Date2006-06-06
Last Update Date2012-07-24
Business Address
-- KRISTEN ANN WAGNER LCSW, LCSW-R
183 NIGHTINGALE WAY
SHEPHERDSVILLE, KY 40165-6329
Phone number: 518-210-4735
Mailing Address
-- KRISTEN ANN WAGNER LCSW, LCSW-R
183 NIGHTINGALE WAY
SHEPHERDSVILLE, KY 40165-6329
Phone number: 518-210-4735
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