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1114396694
STEPHEN LEE WAGNER
LISBON, OH
NPI
1114396694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: OH KU1007163)
Enumeration Date
2015-09-15
Last Update Date
2015-09-15
Business Address
-- STEPHEN LEE WAGNER Ed.S.
38720 SALTWELL RD
LISBON, OH 44432-8303
Phone number: 330-424-9591
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Mailing Address
-- STEPHEN LEE WAGNER Ed.S.
38720 SALTWELL RD
LISBON, OH 44432-8303
Phone number: 330-424-9591
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