MISTIE WAGNER

EL CAJON, CA
NPI1538462361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  62752)
Enumeration Date2010-12-16
Last Update Date2010-12-16
Business Address
-- MISTIE WAGNER
165 ROANOKE RD
EL CAJON, CA 92020-4015
Phone number: 619-588-3653
Mailing Address
-- MISTIE WAGNER
165 ROANOKE RD
EL CAJON, CA 92020-4015
Phone number: 619-588-3653
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