DIANE WAGNER

PHOENIX, AZ
NPI1932521614
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: VT  089.0135916)
Enumeration Date2014-01-14
Last Update Date2025-03-19
Business Address
DIANE WAGNER LCSW
8222 S 48TH ST STE 200
PHOENIX, AZ 85044-5303
Phone number: 520-640-7189
Mailing Address
DIANE WAGNER LCSW
8222 S 48TH ST STE 200
PHOENIX, AZ 85044-5303
Phone number: 520-640-7189