BLAKE DOUGLAS WAGNER

MANSFIELD, OH
NPI1013069061
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: OH  I-4127)
Enumeration Date2007-01-18
Last Update Date2008-09-02
Business Address
Dr. BLAKE DOUGLAS WAGNER Ph.D.
1575 MARION AVE
MANSFIELD, OH 44906-3409
Phone number: 419-529-9941
Mailing Address
Dr. BLAKE DOUGLAS WAGNER Ph.D.
1575 MARION AVE
MANSFIELD, OH 44906-3409
Phone number: 419-529-9941
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