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1184647356
MARK S. WAGNER
PHILADELPHIA, PA
NPI
1184647356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS 003973L)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. MARK S. WAGNER Ph.D.
2824 COTTMAN AVE SUITE 8
PHILADELPHIA, PA 19149-1400
Phone number: 215-331-7707
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Mailing Address
Dr. MARK S. WAGNER Ph.D.
2824 COTTMAN AVE SUITE 8
PHILADELPHIA, PA 19149-1400
Phone number: 215-331-7707
Copy
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