person
Samuel Elias Wagner
School Social Worker in South Salt Lake, Utah
NPI 1285413138

Samuel Elias Wagner is a School Social Worker based in Salt Lake City, UT and is specialized in School. Samuel Elias Wagner practices in South Salt Lake, UT. The NPI Number for Samuel Elias Wagner is 1285413138 and holds a License No. (Utah).

The current practice location address for Samuel Elias Wagner is 177 W Price Ave, South Salt Lake, UT and can be reached out via phone at 385-468-4500.

Location: 177 W Price Ave, South Salt Lake, UT, 84106-1412
person
Provider Profile Details
NPI Number
1285413138
Provider Name
Samuel Elias Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
177 W Price Ave, South Salt Lake, UT, 84106-1412
Phone Number
385-468-4500
Fax Number
Provider Enumeration Date
09/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
177 W Price Ave
City
State
Zip
84115-4345
Phone Number
385-468-4500
Fax Number
person
Provider Business Mailing Address Details
Address
177 W Price Ave
City
State
Zip
84115-4345
Phone Number
385-468-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
License No.
()
Definition
Definition to come...
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