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1508170226
WANDA WAGNER
OKLAHOMA CITY, OK
NPI
1508170226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 3961-P)
Enumeration Date
2010-08-05
Last Update Date
2013-10-02
Business Address
-- WANDA WAGNER
4911 N. PORTLAND AVE SUITE 111
OKLAHOMA CITY, OK 73112
Phone number: 405-605-3093
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Mailing Address
-- WANDA WAGNER
4911 N. PORTLAND AVE. SUITE 111
OKLAHOMA CITY, OK 73112
Phone number: 405-605-3093
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