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1033521703
ALISHA LYNN WAGNER
BELLAIRE, TX
NPI
1033521703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: TX 31571)
Enumeration Date
2014-05-28
Last Update Date
2014-10-31
Business Address
DR. ALISHA LYNN WAGNER PH.D.
6750 WEST LOOP S SUITE 725
BELLAIRE, TX 77401-4103
Phone number: 713-854-5400
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Mailing Address
DR. ALISHA LYNN WAGNER PH.D.
PO BOX 2273
BELLAIRE, TX 77402-2273
Phone number: 713-854-5400
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