KEVIN DALE WAGNER

POPLAR BLUFF, MO
NPI1215139894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  SW 04619)
Enumeration Date2007-06-05
Last Update Date2013-12-26
Business Address
Mr. KEVIN DALE WAGNER MSW
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-3318
Phone number: 573-778-4631
Mailing Address
Mr. KEVIN DALE WAGNER MSW
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-3318
Phone number: 573-778-4631
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