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1093981292
THERESA ANN WAGNER
EUREKA, CA
NPI
1093981292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-05-07
Last Update Date
2008-05-07
Business Address
Mrs. THERESA ANN WAGNER
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
Mrs. THERESA ANN WAGNER
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Copy
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