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1104655877
BRITTANY MICHELLE WAGNER
VICTORVILLE, CA
NPI
1104655877
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Former Name
BRITTANY MICHELLE EMBREY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA APCC16453)
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
BRITTANY MICHELLE WAGNER
16552 SUNHILL DR
VICTORVILLE, CA 92395-4518
Phone number: 760-780-4400
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Mailing Address
BRITTANY MICHELLE WAGNER
20301 PIMA RD
APPLE VALLEY, CA 92308-5124
Phone number: 760-267-6767
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