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Richard Vanwagoner, LBSW
NPI 1790234151 · on the registry since 2016
Practice
- Address
- 216 W Morrell St Ste 300
Jackson, MI 49203 - Phone
- (517) 782-0380
- Fax
- (517) 782-6275
- Organisation at this address
- Community Normalization Homes Inc
Comprehensive Rehabilitarian Centers IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-27
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 Michigan