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1235296310
MARYJOE WAGNER
SAN DIEGO, CA
NPI
1235296310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA LCS7710)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
-- MARYJOE WAGNER
4550 KEARNY VILLA RD STE 116
SAN DIEGO, CA 92123-1583
Phone number: 858-279-1223
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Mailing Address
-- MARYJOE WAGNER
4550 KEARNY VILLA RD STE 116
SAN DIEGO, CA 92123-1583
Phone number: 858-279-1223
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