CHRIS D WAGNER

SAN DIEGO, CA
NPI1972877678
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS15622)
Enumeration Date2012-02-28
Last Update Date2012-02-28
Business Address
CHRIS D WAGNER LCSW
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
Mailing Address
CHRIS D WAGNER LCSW
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000