KATHLEEN WAGNER

COLUMBIA, SC
NPI1700210176
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  9909)
Enumeration Date2013-08-21
Last Update Date2014-02-27
Business Address
-- KATHLEEN WAGNER LMSW
1332 PICKENS ST
COLUMBIA, SC 29201-3430
Phone number: 803-771-4367
Mailing Address
-- KATHLEEN WAGNER LMSW
PO BOX 3788
COLUMBIA, SC 29230-3788
Phone number: 803-733-5969