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1386734440
LYNNE I. WAGNER
CHICAGO, IL
NPI
1386734440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071005890)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Dr. LYNNE I. WAGNER Ph.D.
676 N SAINT CLAIR ST SUITE 200
CHICAGO, IL 60611-2927
Phone number: 312-695-6946
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Mailing Address
Dr. LYNNE I. WAGNER Ph.D.
1960 N LINCOLN PARK W UNIT 1310
CHICAGO, IL 60614-5487
Phone number: 312-695-6946
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