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1538236757
DAVID MICHAEL WAGNER
ST PETERSBURG, FL
NPI
1538236757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: FL MH1455)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
Mr. DAVID MICHAEL WAGNER LMHC
8335 40TH AVE N
ST PETERSBURG, FL 33709-3934
Phone number: 727-344-0315
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Mailing Address
Mr. DAVID MICHAEL WAGNER LMHC
8335 40TH AVE N
ST PETERSBURG, FL 33709-3934
Phone number: 727-344-0315
Copy
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