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1497590277
JACOB ARNOLD WAGNER
CLEVELAND, TN
NPI
1497590277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist School
(Licence: TN 000748846)
Additional Taxonomies
101YS0200X Counselor School
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
MR. JACOB ARNOLD WAGNER LSP, ED.S
2292 CHAMBLISS AVE NW STE C2
CLEVELAND, TN 37311-3862
Phone number: 423-479-5672
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Mailing Address
MR. JACOB ARNOLD WAGNER LSP, ED.S
2292 CHAMBLISS AVE NW STE C2
CLEVELAND, TN 37311-3862
Phone number: 423-479-5672
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