Mary Kathleen Wagner, LCSWCADC
Mary Kathleen Wagner, LCSWCADC is a Clinical Social Worker in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
2451 W Cortland St Apt 3Chicago, IL 60647-0452
Phone: (847) 334-2755
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149020151 (IL) |
|---|
Record details
| NPI number | 1144815994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSWCADC |
| Sole proprietor | Yes |
| NPI enumerated | March 3, 2021 |
| Last updated in NPPES | March 3, 2021 |
| Certification date | March 3, 2021 |
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