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1043478290
JOSEPH MICHAEL WAGNER
METAIRIE, LA
NPI
1043478290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 4420)
Enumeration Date
2008-05-23
Last Update Date
2020-07-09
Business Address
JOSEPH MICHAEL WAGNER LPC-S
3350 RIDGELAKE DR # 87
METAIRIE, LA 70002-3836
Phone number: 504-293-0021
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Mailing Address
JOSEPH MICHAEL WAGNER LPC-S
333 HIGHWAY DR # B
JEFFERSON, LA 70121-3414
Phone number: 504-237-5830
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