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1174973432
MATTHEW WAGNER
BELLEFONTE, PA
NPI
1174973432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2016-06-17
Last Update Date
2016-06-17
Business Address
-- MATTHEW WAGNER MA,CPS
190 MATCH FACTORY PL
BELLEFONTE, PA 16823-1367
Phone number: 814-353-3151
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Mailing Address
-- MATTHEW WAGNER MA,CPS
190 MATCH FACTORY PL
BELLEFONTE, PA 16823-1367
Phone number: 814-353-3151
Copy
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