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1194045724
ANNA LISA WAGNER
ELMHURST, IL
NPI
1194045724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149025190)
Enumeration Date
2010-06-05
Last Update Date
2023-03-01
Business Address
ANNA LISA WAGNER LCSW
550 W SAINT CHARLES RD
ELMHURST, IL 60126-3038
Phone number: 331-263-8083
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Mailing Address
ANNA LISA WAGNER LCSW
550 W SAINT CHARLES RD
ELMHURST, IL 60126-3038
Phone number: 331-263-8083
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