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Mary Wagner, LCSW CADC
NPI 1144815994 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2451 W Cortland St Apt 3
Chicago, IL 60647 - Phone
- (847) 334-2755
- Organisation at this address
- Pure Health Center, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois