JANICE K. WAGNER

BOSTON, MA
NPI1497779466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  105968)
Enumeration Date2006-07-26
Last Update Date2009-04-08
Business Address
-- JANICE K. WAGNER LICSW
147 MILK ST
BOSTON, MA 02109-4806
Phone number: 617-654-7300
Mailing Address
-- JANICE K. WAGNER LICSW
147 MILK ST PROVIDER ENROLLMENT 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-559-8051
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