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1457808560
ABIGAIL WAGNER
PORTLAND, OR
NPI
1457808560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
ABIGAIL WAGNER
17720 NE HALSEY ST STE B
PORTLAND, OR 97230-6771
Phone number: 503-654-7654
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Mailing Address
ABIGAIL WAGNER
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 503-869-4280
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