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1316014525
CHARLES VANWAGNER
RALEIGH, NC
NPI
1316014525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NC 192)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
Dr. CHARLES VANWAGNER DST, LMFT
3733 NATIONAL DR SUITE 221
RALEIGH, NC 27612-4065
Phone number: 919-783-5775
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Mailing Address
Dr. CHARLES VANWAGNER DST, LMFT
3733 NATIONAL DR SUITE 221
RALEIGH, NC 27612-4065
Phone number: 919-783-5775
Copy
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