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1881390672
LAURA KATHERINE WAGNER
EVANSTON, IL
NPI
1881390672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.025191)
Enumeration Date
2023-02-02
Last Update Date
2023-02-02
Business Address
LAURA KATHERINE WAGNER LCSW
618 LIBRARY PL
EVANSTON, IL 60201-2908
Phone number: 847-733-4300
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Mailing Address
LAURA KATHERINE WAGNER LCSW
7628 N FAIRCHILD RD
FOX POINT, WI 53217-3111
Phone number: 414-350-7293
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