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1396424842
JEFFREY WAGNER
SEATTLE, WA
NPI
1396424842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA SC61458024)
Enumeration Date
2023-07-12
Last Update Date
2023-07-19
Business Address
JEFFREY WAGNER
123 NW 36TH ST STE 210
SEATTLE, WA 98107-4959
Phone number: 425-640-7009
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Mailing Address
JEFFREY WAGNER
100 N HOWARD ST STE W
SPOKANE, WA 99201-0508
Phone number:
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