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1265966261
MONICA WAGNER
KENOSHA, WI
NPI
1265966261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WI 130091-121)
Enumeration Date
2017-04-17
Last Update Date
2017-04-17
Business Address
MONICA WAGNER APSW
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
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Mailing Address
MONICA WAGNER APSW
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
Copy
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