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1477740876
BONNIE LYNNE WAGNER
PLACERVILLE, CA
NPI
1477740876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA lcsw20649)
Enumeration Date
2007-09-28
Last Update Date
2007-09-28
Business Address
Mrs. BONNIE LYNNE WAGNER lcsw
6765 GREEN VALLEY RD
PLACERVILLE, CA 95667-8984
Phone number: 530-622-5551
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Mailing Address
Mrs. BONNIE LYNNE WAGNER lcsw
1306 FONG ST
FOLSOM, CA 95630-2462
Phone number:
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