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1134420185
SUSAN CAROL WAGNER
JOHNSTOWN, PA
NPI
1134420185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: PA SW004045E)
Enumeration Date
2010-11-08
Last Update Date
2010-11-08
Business Address
Mrs. SUSAN CAROL WAGNER LSW
1108 DITHRIDGE DR
JOHNSTOWN, PA 15905-1503
Phone number: 814-255-7907
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Mailing Address
Mrs. SUSAN CAROL WAGNER LSW
1108 DITHRIDGE DR
JOHNSTOWN, PA 15905-1503
Phone number: 814-255-7907
Copy
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