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1386101970
SHEENAGH LOPEZ WAGNER
DURHAM, NC
NPI
1386101970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC c008073)
Enumeration Date
2019-03-01
Last Update Date
2019-03-01
Business Address
SHEENAGH LOPEZ WAGNER
2213 ELBA ST
DURHAM, NC 27705-3934
Phone number: 919-681-5531
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Mailing Address
SHEENAGH LOPEZ WAGNER
PO BOX 3418
DURHAM, NC 27702-3418
Phone number: 919-681-5531
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