TARA JO WAGNER

EVANSVILLE, IN
NPI1598088973
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34007711A)
Enumeration Date2010-03-12
Last Update Date2022-03-29
Business Address
Ms. TARA JO WAGNER LCSW
5905 BERRY LN
EVANSVILLE, IN 47710-4377
Phone number: 812-205-3787
Mailing Address
Ms. TARA JO WAGNER LCSW
5905 BERRY LN
EVANSVILLE, IN 47710-4377
Phone number: 812-205-3787
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