ANDREW JACOB WAGONER

JEFFERSONVILLE, IN
NPI1891393989
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  3976)
Enumeration Date2020-10-12
Last Update Date2020-10-20
Business Address
Mr. ANDREW JACOB WAGONER LCSW
460 SPRING ST
JEFFERSONVILLE, IN 47130-3452
Phone number: 812-913-5462
Mailing Address
Mr. ANDREW JACOB WAGONER LCSW
460 SPRING ST
JEFFERSONVILLE, IN 47130-3452
Phone number: 812-913-5462
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