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1346632312
AMY R WAGNER
ALPHARETTA, GA
NPI
1346632312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: GA CSW004454)
Enumeration Date
2015-02-26
Last Update Date
2015-02-26
Business Address
AMY R WAGNER ED.D., LCSW, BCABA
6505 SHILOH RD SUITE 100
ALPHARETTA, GA 30005-8405
Phone number: 678-648-7644
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Mailing Address
AMY R WAGNER ED.D., LCSW, BCABA
6505 SHILOH RD SUITE 100
ALPHARETTA, GA 30005-8405
Phone number: 678-648-7644
Copy
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