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1578843694
JENNIFER WAGNER
AUSTIN, TX
NPI
1578843694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 37961)
Enumeration Date
2011-08-19
Last Update Date
2016-10-08
Business Address
Ms. JENNIFER WAGNER LCSW
418 GRACE LN
AUSTIN, TX 78746-4813
Phone number: 512-551-1794
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Mailing Address
Ms. JENNIFER WAGNER LCSW
11115 APPLETREE LN
AUSTIN, TX 78726-1381
Phone number: 512-551-1794
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