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1114196680
KATJE WAGNER
PORTLAND, OR
NPI
1114196680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
103T00000X Psychologist
Enumeration Date
2008-02-28
Last Update Date
2024-04-03
Business Address
Dr. KATJE WAGNER PhD, LPC
1942 NW KEARNEY ST STE 23
PORTLAND, OR 97209-1465
Phone number: 503-313-5733
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Mailing Address
Dr. KATJE WAGNER PhD, LPC
1942 NW KEARNEY ST STE 23
PORTLAND, OR 97209-1465
Phone number: 503-313-5733
Copy
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