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1003838582
GAIL ANN WAGNER
PRESCOTT, AZ
NPI
1003838582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ lpc0404)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Mrs. GAIL ANN WAGNER M.S.
143 E MERRITT ST
PRESCOTT, AZ 86301-2028
Phone number: 928-445-5027
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Mailing Address
Mrs. GAIL ANN WAGNER M.S.
143 E MERRITT ST
PRESCOTT, AZ 86301-2028
Phone number: 928-445-5027
Copy
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