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1104591379
JANET ANNICE WAGSTAFF
SACRAMENTO, CA
NPI
1104591379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW101794)
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
JANET ANNICE WAGSTAFF
2315 STOCKTON BLVD # 1
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2011
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Mailing Address
JANET ANNICE WAGSTAFF
564 VILLANOVA DR
DAVIS, CA 95616-1860
Phone number: 530-304-9455
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