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1437255098
JOAN LYNN WAGNER
ANAHEIM, CA
NPI
1437255098
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Former Name
JOAN LYNN MCKEAG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
-- JOAN LYNN WAGNER M.A.
217 W CERRITOS AVE BLDG 8
ANAHEIM, CA 92805-6549
Phone number: 714-254-8473
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Mailing Address
-- JOAN LYNN WAGNER M.A.
817 N WOODS AVE
FULLERTON, CA 92832-1029
Phone number: 714-526-2005
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