About

Kevin Dale Wagner is a Clinical Social Worker in Poplar Bluff, Missouri. He has over 16 years of experience. Contact Kevin Dale Wagner to request his Medicare information, payment methods he accepts, or to book an appointment.

Basic Data

Entity Type: Individual; Not Sole Proprietor

Organization Name: St. Louis Jc Vamc

Gender

Male

Years in Practice

16 years

Healthcare Provider Taxonomy

  • Code: 1041C0700X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Social Worker
  • Specialization: Clinical

Credentials

  • Master of Social Work (MSW)

Licenses

Name License Number State
Social Worker SW 04619 Verify MO

Practice Locations

1500 N Westwood Blvd

Poplar Bluff, MO 63901-3318

Phone Number: (573) 778-4631

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