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1194946889
STACEY LYNN WAGNER
FARGO, ND
NPI
1194946889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ND 1402)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Ms. STACEY LYNN WAGNER LSW
1112 NODAK DR S STE 200
FARGO, ND 58103-2366
Phone number: 701-280-9545
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Mailing Address
Ms. STACEY LYNN WAGNER LSW
1112 NODAK DR S STE 200
FARGO, ND 58103-2366
Phone number: 701-280-9545
Copy
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