DEBORAH JESSICA WAGNER

SAN DIEGO, CA
NPI1285384750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW109185)
Additional Taxonomies104100000X Social Worker
(Licence: DC  LC50078648)
Enumeration Date2022-03-26
Last Update Date2023-10-10
Business Address
DEBORAH JESSICA WAGNER LCSW
4305 UNIVERSITY AVE STE 150
SAN DIEGO, CA 92105-1690
Phone number: 858-576-1700
Mailing Address
DEBORAH JESSICA WAGNER LCSW
3020 CHILDRENS WAY # MC5100
SAN DIEGO, CA 92123-4223
Phone number: 858-576-1700