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1477219111
KRISTIN LYNN WAGNER
TROY, NY
NPI
1477219111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY P110131)
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
KRISTIN LYNN WAGNER LMHC
2215 BURDETT AVENUE SAMARITAN CAMPUS BEHAVIORAL HEALTH
TROY, NY 12180-2466
Phone number: 518-271-3554
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Mailing Address
KRISTIN LYNN WAGNER LMHC
PO BOX 14890
ALBANY, NY 12212-4890
Phone number:
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