MARY ABIGAIL WAGNER

LAKEWOOD RANCH, FL
NPI1518050731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH12245)
Enumeration Date2006-10-02
Last Update Date2020-01-13
Business Address
Ms. MARY ABIGAIL WAGNER LMHC
5569 BROADCAST CT
LAKEWOOD RANCH, FL 34240-8472
Phone number: 941-254-4900
Mailing Address
Ms. MARY ABIGAIL WAGNER LMHC
349 SEA GRAPE RD
VENICE, FL 34293-1627
Phone number: 941-525-0318
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