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1417971813
DIANNA LEE WAGNER
REDDING, CA
NPI
1417971813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 41383)
Enumeration Date
2006-07-27
Last Update Date
2013-04-11
Business Address
MRS. DIANNA LEE WAGNER MFT
855 CANYON RD
REDDING, CA 96001-5544
Phone number: 530-232-1447
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Mailing Address
MRS. DIANNA LEE WAGNER MFT
855 CANYON RD
REDDING, CA 96001-5544
Phone number: 530-945-5342
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