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1205387941
JOSHUA WAGNER
HARVEY, LA
NPI
1205387941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-18
Last Update Date
2016-10-18
Business Address
Mr. JOSHUA WAGNER
4040 S. INDINGO DR
HARVEY, LA 70056-7876
Phone number: 504-339-3023
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Mailing Address
Mr. JOSHUA WAGNER
4040 S. INDINGO DR
HARVEY, LA 70058
Phone number: 504-339-3023
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