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1154100527
BENJAMIN WAGEMAN
WINTER PARK, FL
NPI
1154100527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH24274)
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
BENJAMIN WAGEMAN
1971 LEE RD STE 100
WINTER PARK, FL 32789-1875
Phone number: 507-990-5655
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Mailing Address
BENJAMIN WAGEMAN
1618 E LIVINGSTON ST
ORLANDO, FL 32803-5519
Phone number: 507-990-5655
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