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1376727057
CHERYL LEA WAGONER
FORT WAYNE, IN
NPI
1376727057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 39001832A)
Enumeration Date
2007-12-18
Last Update Date
2009-11-18
Business Address
Mrs. CHERYL LEA WAGONER LMHC Licensed Mental
1308 BRANDON WAY
FORT WAYNE, IN 46845-2381
Phone number: 260-244-3427
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Mailing Address
Mrs. CHERYL LEA WAGONER LMHC Licensed Mental
1308 BRANDON WAY
FORT WAYNE, IN 46845-2381
Phone number: 260-244-3427
Copy
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