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1407259989
ERICA WAGNER
LAKELAND, FL
NPI
1407259989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2014-09-29
Last Update Date
2014-09-29
Business Address
ERICA WAGNER
1025 S OHIO AVE APARTMENT 1
LAKELAND, FL 33803-6200
Phone number: 863-513-3233
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Mailing Address
ERICA WAGNER
PO BOX 2383
LAKELAND, FL 33806-2383
Phone number: 863-513-3233
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