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1366843229
MELISSA WAGNER
FRESNO, CA
NPI
1366843229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSB94020935)
Enumeration Date
2014-09-10
Last Update Date
2014-09-10
Business Address
-- MELISSA WAGNER M.A.
3443 W SHAW AVE
FRESNO, CA 93711-3249
Phone number: 559-271-1186
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Mailing Address
-- MELISSA WAGNER M.A.
3443 W SHAW AVE
FRESNO, CA 93711-3249
Phone number: 559-271-1186
Copy
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