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1194242198
MECO WAGNER
TERRYTOWN, LA
NPI
1194242198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-29
Last Update Date
2017-08-29
Business Address
MECO WAGNER Master in psychology
1799 STUMPF BLVD # 1
TERRYTOWN, LA 70056-3950
Phone number: 504-444-9863
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Mailing Address
MECO WAGNER Master in psychology
2350 PARK PLACE DR APT 151
GRETNA, LA 70056-8801
Phone number:
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