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1124516109
JENNIFER L WAGNER
TAYLORSVILLE, UT
NPI
1124516109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 8663400-6009)
Enumeration Date
2018-04-25
Last Update Date
2020-02-19
Business Address
Ms. JENNIFER L WAGNER ACMHC
3509 W 4700 S
TAYLORSVILLE, UT 84129-2846
Phone number: 801-990-4300
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Mailing Address
Ms. JENNIFER L WAGNER ACMHC
PO BOX 330
MAGNA, UT 84044-0330
Phone number: 801-990-4300
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