Kelly McMahon Wagner, LCSW-C
Social Worker, School in Baltimore, MD. Individual provider (NPI-1).
NPI number1356808455
StatusActive
Last updated in NPPESFeb 25, 2019
Details
- NPI
- 1356808455
- Entity type
- Individual (NPI-1)
- Name
- Kelly McMahon Wagner
- Credential
- LCSW-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 25, 2019
- Last updated
- Feb 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041S0200X | Social Worker, School | 08329 | MD | Yes |
Other names
- Kelly Ann McMahon (Former Name)
Practice location
4701 Greenspring AveBaltimore, MD 21209-4704
Phone 443-642-2027
Mailing address
4701 Greenspring AveBaltimore, MD 21209-4704
Phone 443-642-2027
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All 63 School Social Worker providers in Baltimore · All 45,752 providers in Baltimore
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