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1568516698
AMY CLAIRE WAGNER
WILMETTE, IL
NPI
1568516698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071003893)
Enumeration Date
2007-01-23
Last Update Date
2020-08-07
Business Address
Dr. AMY CLAIRE WAGNER Ph.D., L.M.F.T.
104 CENTRAL PARK AVE
WILMETTE, IL 60091-3202
Phone number: 847-721-0965
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Mailing Address
Dr. AMY CLAIRE WAGNER Ph.D., L.M.F.T.
104 CENTRAL PARK AVE
WILMETTE, IL 60091-3202
Phone number: 847-721-0965
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