SUSAN ELIZABETH WAGNER

VENTURA, CA
NPI1467776781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  58630)
Enumeration Date2010-03-15
Last Update Date2010-03-15
Business Address
Mrs. SUSAN ELIZABETH WAGNER M.A., M.F.T.I.
79 ENCINAL WAY
VENTURA, CA 93001-3317
Phone number: 805-653-7626
Mailing Address
Mrs. SUSAN ELIZABETH WAGNER M.A., M.F.T.I.
79 ENCINAL WAY
VENTURA, CA 93001-3317
Phone number: 805-653-7626
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