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1184957441
MARY L. WAGNER LLC
SAN ANTONIO, TX
NPI
1184957441
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Entity Type
Organization
Authorized Contact
MARY L. WAGNER
Owner
210-821-6464
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 07873)
Enumeration Date
2009-09-17
Last Update Date
2010-02-22
Business Address
MARY L. WAGNER LLC
313 ENCINO AVENUE
SAN ANTONIO, TX 78209
Phone number: 210-821-6464
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Mailing Address
MARY L. WAGNER LLC
313 ENCINO AVENUE
SAN ANTONIO, TX 78209
Phone number: 210-821-6464
Copy
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