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1285410308
ALICIA D WAGNER
FAYETTEVILLE, AR
NPI
1285410308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR A2307011)
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
ALICIA D WAGNER
3680 N INVESTMENT DR STE 1
FAYETTEVILLE, AR 72703-5458
Phone number: 479-435-9356
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Mailing Address
ALICIA D WAGNER
3680 N INVESTMENT DR STE 1
FAYETTEVILLE, AR 72703-5458
Phone number: 479-435-9356
Copy
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