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1306712302
DOUG WAGNER
BURIEN, WA
NPI
1306712302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2025-10-15
Last Update Date
2025-10-15
Business Address
DOUG WAGNER
1210 SW 136TH ST
BURIEN, WA 98166-1214
Phone number: 206-886-6843
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Mailing Address
DOUG WAGNER
746 S 204TH ST
DES MOINES, WA 98198-3447
Phone number: 206-601-6271
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