IVY CHRISTINE WAGNER

BANDON, OR
NPI1346754702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L11519)
Enumeration Date2017-11-21
Last Update Date2024-08-16
Business Address
Dr. IVY CHRISTINE WAGNER DBH, LCSW
780 2ND ST SE STE 10
BANDON, OR 97411-8354
Phone number: 541-329-2144
Mailing Address
Dr. IVY CHRISTINE WAGNER DBH, LCSW
790 BLUFF AVE SW
BANDON, OR 97411-9614
Phone number: 503-984-9243
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