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1417278482
LAURA JEAN WAGNER
MUSKEGON, MI
NPI
1417278482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801089376)
Enumeration Date
2010-06-14
Last Update Date
2017-02-02
Business Address
-- LAURA JEAN WAGNER LMSW
2700 BAKER ST FL 3
MUSKEGON, MI 49444-2157
Phone number: 231-737-1335
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Mailing Address
-- LAURA JEAN WAGNER LMSW
2700 BAKER ST FL 3
MUSKEGON, MI 49444-2157
Phone number: 231-737-1335
Copy
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