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1043768237
NICOLE WAGENBERG
BERKELEY, CA
NPI
1043768237
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Professional Name
NICOLA WAGENBERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY27376)
Enumeration Date
2016-09-15
Last Update Date
2020-02-02
Business Address
DR. NICOLE WAGENBERG PHD
925 THE ALAMEDA
BERKELEY, CA 94707-2310
Phone number: 510-698-2491
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Mailing Address
DR. NICOLE WAGENBERG PHD
1415 BONITA AVE
BERKELEY, CA 94709-1908
Phone number: 415-305-1425
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