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1750553384
LICIA MARIA THOMAS-WAGONER
NORTH CHESTERFIELD, VA
NPI
1750553384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904006772)
Enumeration Date
2008-03-24
Last Update Date
2013-11-12
Business Address
Ms. LICIA MARIA THOMAS-WAGONER LCSW
9409 HULL STREET RD SUITE D1
NORTH CHESTERFIELD, VA 23236-1200
Phone number: 804-745-2225
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Mailing Address
Ms. LICIA MARIA THOMAS-WAGONER LCSW
9409 HULL STREET RD SUITE D1
NORTH CHESTERFIELD, VA 23236-1200
Phone number: 804-745-2225
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