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1144578238
NATHANIEL JACOB WAGNER
TERRE HAUTE, IN
NPI
1144578238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-08-21
Last Update Date
2022-07-26
Business Address
Dr. NATHANIEL JACOB WAGNER PhD, LMHC
8256 S CHEROKEE ST
TERRE HAUTE, IN 47802-5014
Phone number: 812-370-0370
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Mailing Address
Dr. NATHANIEL JACOB WAGNER PhD, LMHC
8256 S CHEROKEE ST
TERRE HAUTE, IN 47802-5014
Phone number: 812-370-0370
Copy
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