KELLY MARIE WAGNER

ERIE, PA
NPI1992464465
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C018909)
Enumeration Date2021-12-13
Last Update Date2025-12-02
Business Address
KELLY MARIE WAGNER LCSW
1932 BROOKSBORO DR
ERIE, PA 16510-3872
Phone number: 814-708-2010
Mailing Address
KELLY MARIE WAGNER LCSW
1932 BROOKSBORO DR
ERIE, PA 16510-3872
Phone number: 814-490-0015