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1306990627
JANIS ANN WAGNER
WATERTOWN, MA
NPI
1306990627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MA py2351pr)
Enumeration Date
2007-01-23
Last Update Date
2014-06-17
Business Address
Dr. JANIS ANN WAGNER Ph.D
521 MOUNT AUBURN ST SUITE 107-109
WATERTOWN, MA 02472-4191
Phone number: 617-416-7815
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Mailing Address
Dr. JANIS ANN WAGNER Ph.D
17 GROVE ST UNIT 3
BOSTON, MA 02114-3408
Phone number: 617-416-7815
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