BEVERLY ANNE WAGNER

TAYLORS, SC
NPI1861553596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  5028)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
Mrs. BEVERLY ANNE WAGNER LISW
161 LANDMARK DR
TAYLORS, SC 29687-2819
Phone number: 864-244-0154
Mailing Address
Mrs. BEVERLY ANNE WAGNER LISW
161 LANDMARK DR
TAYLORS, SC 29687-2819
Phone number: 864-244-0154
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