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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. BONNIE LYNNE WAGNER, LCSW

Active Sole Proprietor

Clinical Social Worker · PLACERVILLE, CA

Registration Details

NPI Number
1477740876
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2007 (18.589187936907 yrs)
Last Updated
Sep 28, 2007
License
LCSW20649 (CA)
Sole Proprietor
Yes

Practice Information

Address
6765 GREEN VALLEY RD
PLACERVILLE, CA, 956678984
Browse CA providers · Browse ZIP 95667
Phone
5306225551
Fax
5306225800
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PLACERVILLE, CA

Name Credential NPI
MS. CARLA L WILLS LCSW 1073685202
MS. EILEEN P. KEAVENY L.C.S.W. 1437290400
SARAH CORINNE MARTIN 1932226586
STEVE MCNITT LCSW 1710009188
MR. DARRYL L KECK MSW 1558483255
MS. CHRISTINE SATOMI KONDO-LISTER LCSW 1720100092
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.