AUTUMN WAGONER

CANTON, OH
NPI1962875245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  I.2506755)
Enumeration Date2015-11-09
Last Update Date2025-10-09
Business Address
AUTUMN WAGONER LISW
4641 FULTON DR NW
CANTON, OH 44718-2384
Phone number: 330-433-6075
Mailing Address
AUTUMN WAGONER LISW
4641 FULTON DR NW
CANTON, OH 44718-2384
Phone number: 330-433-6075
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