Search › Florida › 101YM0800X
Mary Wagner, LMHC
NPI 1518050731 · on the registry since 2006
Practice
- Address
- 5569 Broadcast Ct
Lakewood Ranch, FL 34240 - Phone
- (941) 254-4900
- Fax
- (941) 355-2210
- Organisation at this address
- Lakewood Ranch Retina
Camelot Community Care, Inc
Camelot Community Care, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-13
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 Florida