MICHELE D WAGNER

SAN DIEGO, CA
NPI1386830735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-09-19
Last Update Date2007-09-19
Business Address
-- MICHELE D WAGNER
892 27TH ST
SAN DIEGO, CA 92154-1444
Phone number: 619-575-4687
Mailing Address
-- MICHELE D WAGNER
892 27TH ST
SAN DIEGO, CA 92154-1444
Phone number: 619-575-4687