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1336926393
BRIAN WAGNER
DOWNERS GROVE, IL
NPI
1336926393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149025667)
Enumeration Date
2023-09-13
Last Update Date
2023-09-13
Business Address
BRIAN WAGNER LCSW
3040 FINLEY RD STE 220
DOWNERS GROVE, IL 60515-5714
Phone number: 877-381-6538
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Mailing Address
BRIAN WAGNER LCSW
55 E JACKSON BLVD
CHICAGO, IL 60604-4466
Phone number:
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