MARY KATHLEEN WAGNER

CHICAGO, IL
NPI1144815994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149020151)
Enumeration Date2021-03-03
Last Update Date2021-03-03
Business Address
MARY KATHLEEN WAGNER LCSW CADC
2451 W CORTLAND ST APT 3
CHICAGO, IL 60647-0452
Phone number: 847-334-2755
Mailing Address
MARY KATHLEEN WAGNER LCSW CADC
2451 W CORTLAND ST APT 3
CHICAGO, IL 60647-0452
Phone number: 847-334-2755
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