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Logan Wagner, LSW
NPI 1558219378 · on the registry since 2026
Practice
- Address
- 1700 E Bradford Pike
Marion, IN 46952 - Phone
- (765) 664-7740
- Organisation at this address
- Paddock View Residential Center, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-18
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 Indiana