Mary G. Wagner LMSW
School Social Worker in Harahan, LA(View on Map)
Full Name
Mary Grace Wagner LMSW
NPI Number
1164179826
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/03/2022
Specialties
(Taxonomies)Licenses
State
Louisiana
License Number
16456
Contact
Information
Purpose
Mailing
Location
Address
600 W ESPLANADE AVE
822 S CLEARVIEW PKWY
City
Kenner
Harahan
State
LA
LA
Postal Code
70065-2743
70123-3401
Country
US
US
Telephone Number
(504) 469-7326
(504) 736-1800
Identifiers
Identifier
1701033
Identifier State
LA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/03/2022
Provider Address
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