LAURA J WAGNER

JACKSONVILLE, FL
NPI1033269329
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW 8239)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
-- LAURA J WAGNER LCSW
1100 CESERY BLVD STE 11
JACKSONVILLE, FL 32211-5656
Phone number: 904-745-3070
Mailing Address
-- LAURA J WAGNER LCSW
8572 ETHANS GLEN TER
JACKSONVILLE, FL 32256-9069
Phone number: 904-226-7777
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