CAROL THERESA WAGNER

BRONX, NY
NPI1760537062
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  PR029268-1)
Additional Taxonomies101YM0800X Counselor, Mental Health
101YP1600X Counselor, Pastoral
101YS0200X Counselor, School
104100000X Social Worker
1041S0200X Social Worker, School
106H00000X Marriage & Family Therapist
Enumeration Date2007-01-24
Last Update Date2010-08-06
Business Address
Ms. CAROL THERESA WAGNER LCSW
2780 SCHURZ AVE
BRONX, NY 10465-3234
Phone number: 718-863-9134
Mailing Address
Ms. CAROL THERESA WAGNER LCSW
286 LOGAN AVE
BRONX, NY 10465-3334
Phone number: 718-892-7599