SUSAN D. WAGNER

SANTA ROSA, CA
NPI1629220801
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC33511)
Enumeration Date2008-10-19
Last Update Date2008-10-19
Business Address
-- SUSAN D. WAGNER MFT
1549 PACIFIC AVE
SANTA ROSA, CA 95404-3507
Phone number: 707-545-7706
Mailing Address
-- SUSAN D. WAGNER MFT
1549 PACIFIC AVE
SANTA ROSA, CA 95404-3507
Phone number: 707-545-7706
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