SearchPennsylvania1041C0700X

Kelly Wagner, LCSW

NPI 1992464465 · on the registry since 2021 · sole proprietor

Practice

Address
1932 Brooksboro Dr
Erie, PA 16510
Phone
(814) 708-2010

Additional practice sites

  • 77 Central Ave Ste D, Asheville, NC

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-02

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 Pennsylvania