Most Relevant Information
Provider Data
| NPI Number: | 1003391285 |
| Provider Name: | LAUREN COLLEEN WAGONER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CSW.09925334 |
Most Important Dates
| Enumeration Date: | 10/03/2018 |
| Last Updated: | 10/03/2018 |
Provider Practice Location
5200 HAHNS PEAK DR
LOVELAND
CO
80538
Practice Location Phone/Fax
| Phone: | 3072863288 |
| Fax: | 9709624901 |
Provider Mailing Location
5200 HAHNS PEAK DR
LOVELAND
CO
805388852
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |