JAMES A WAGNER

RACINE, WI
NPI1376718288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  10328)
Enumeration Date2008-04-23
Last Update Date2008-04-23
Business Address
MR. JAMES A WAGNER CADCIII-RCS
524 MAIN STREET SUITE 302
RACINE, WI 53403-1032
Phone number: 262-632-1780
Mailing Address
MR. JAMES A WAGNER CADCIII-RCS
524 MAIN STREET SUITE 302
RACINE, WI 53403-1032
Phone number: 262-632-1780
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