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1265154454
BROOKE LEIGH WAGNER
VICTOR, NY
NPI
1265154454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 093973-01)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
BROOKE LEIGH WAGNER LCSW
6539 ANTHONY DR STE A
VICTOR, NY 14564-1441
Phone number: 585-398-8835
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Mailing Address
BROOKE LEIGH WAGNER LCSW
2012 RAINBOW LN
LIMA, NY 14485-9453
Phone number:
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