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1114046034
CYNTHIA ELLEN WAGNER
LOS ANGELES, CA
NPI
1114046034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 18736)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
-- CYNTHIA ELLEN WAGNER LCSW
439 W 97TH ST
LOS ANGELES, CA 90003-3968
Phone number: 323-754-2856
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Mailing Address
-- CYNTHIA ELLEN WAGNER LCSW
18243 VAN NESS AVE
TORRANCE, CA 90504-5308
Phone number: 310-480-6916
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