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1144471392
KELLY D WAGNER
TOPEKA, KS
NPI
1144471392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-10-07
Last Update Date
2008-10-07
Business Address
-- KELLY D WAGNER
330 SW OAKLEY AVE
TOPEKA, KS 66606-1995
Phone number: 785-233-1730
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Mailing Address
-- KELLY D WAGNER
5401 SW 7TH ST
TOPEKA, KS 66606-2330
Phone number: 785-273-2252
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