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Jennifer Wagner, LISW
NPI 1538653118 · on the registry since 2018
Practice
- Address
- 619 Tremont Ave Sw
Massillon, OH 44647 - Phone
- (330) 837-3555
- Fax
- (330) 837-0513
- Organisation at this address
- The Twelve Of Ohio, Inc.
Purpose Driven Solutions LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-02
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 Ohio