| Virginia Yvonne Wagner, | |
|
400 N Pleasant Ave, Centralia, IL 62801-3056 | |
| (618) 437-8692 | |
| (618) 436-6420 |
| Full Name | Virginia Yvonne Wagner |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 400 N Pleasant Ave, Centralia, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225539398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.006812 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Yvonne Wagner, 928 W 4th St, Centralia, IL 62801-5718 Ph: (618) 532-3558 | Virginia Yvonne Wagner, 400 N Pleasant Ave, Centralia, IL 62801-3056 Ph: (618) 437-8692 |
Ms. Sally Johonna Lindsay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 904 E. Martin Luther King Dr., Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 | |
Washington Cisco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2870 E Jefferson St, Centralia, IL 62801 Phone: 618-249-6863 | |
Mr. Dale H Spitler, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1424 Nelms Ave, Centralia, IL 62801 Phone: 618-532-8807 | |
Destin Lloyd Mays, LCSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 E Calumet St, Centralia, IL 62801 Phone: 618-316-3826 | |
Aaron Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 904 E. Martin Luther King Dr., Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 |