| Anne S Wagner, Lcsw, Pc | |
|
2622 Pioneer Ave Cheyenne WY 82001-3024 | |
| (307) 637-7736 | |
| Not Available |
| Full Name | Anne S Wagner, Lcsw, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2622 Pioneer Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | Anne S Wagner (OWNER) |
| Authorized Official Contact | 3076377736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne S Wagner, Lcsw, Pc 2622 Pioneer Ave Cheyenne WY 82001-3024 Ph: () - | Anne S Wagner, Lcsw, Pc 2622 Pioneer Ave Cheyenne WY 82001-3024 Ph: (307) 637-7736 |
| NPI Number | 1871592592 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871592592 | NPI | - | NPPES |
| 303435 | Other | WY | BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 072 (Wyoming) | Primary |
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