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1093046716
KATHRYN ELLEN WAGNER
WILMINGTON, DE
NPI
1093046716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-01-20
Last Update Date
2013-12-23
Business Address
-- KATHRYN ELLEN WAGNER
2500 W 4TH ST
WILMINGTON, DE 19805-3367
Phone number: 302-225-9692
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Mailing Address
-- KATHRYN ELLEN WAGNER
2500 W 4TH ST
WILMINGTON, DE 19805-3367
Phone number: 302-225-9692
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