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1558479428
JANELLE L WAGNER
CHARLESTON, SC
NPI
1558479428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: SC 990)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
JANELLE L WAGNER PHD
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
JANELLE L WAGNER PHD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-1414
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