Erica Rhea Wagner, LCSW
Social Worker, Clinical in Tucson, AZ. Individual provider (NPI-1).
NPI number1669070710
StatusActive
Last updated in NPPESAug 9, 2022
Details
- NPI
- 1669070710
- Entity type
- Individual (NPI-1)
- Name
- Erica Rhea Wagner
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2020
- Certification date
- Aug 9, 2022
- Last updated
- Aug 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW-17719 | AZ | Yes |
Practice location
1050 E River Rd Ste 202Tucson, AZ 85718-5736
Phone 520-347-0052
Mailing address
4873 E Cooper StTucson, AZ 85711-3617
Phone 520-629-8343
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