Individual provider · Type 1 NPI
Kelly McMahon Wagner, LCSW-C
School Social Worker · Baltimore, MD
NPI number
1356808455
Active
Practice location
4701 Greenspring Ave
Baltimore, MD 21209-4704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | 08329 (MD) |
School Social Worker: Definition to come...
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About NPI 1356808455
Kelly McMahon Wagner, LCSW-C's National Provider Identifier is 1356808455, issued on Feb 25, 2019. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Baltimore, MD. The record was last updated on Feb 25, 2019.