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1396756243
RICHARD PAUL WAGNER
BUTTE, MT
NPI
1396756243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT 373)
Enumeration Date
2006-08-10
Last Update Date
2009-07-20
Business Address
Mr. RICHARD PAUL WAGNER LCSW
106 W BROADWAY ST
BUTTE, MT 59701-9224
Phone number: 406-723-5489
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Mailing Address
Mr. RICHARD PAUL WAGNER LCSW
T-9 FORT MISSOULA
MISSOULA, MT 59804-7202
Phone number: 406-532-8400
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