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1649443805
PAMELA LOU WAGNER
CORNELIUS, NC
NPI
1649443805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: NC 6531)
Enumeration Date
2008-04-09
Last Update Date
2008-04-09
Business Address
MRS. PAMELA LOU WAGNER LPC
17301 STATESVILLE RD
CORNELIUS, NC 28031-9353
Phone number: 704-892-8005
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Mailing Address
MRS. PAMELA LOU WAGNER LPC
20200 FLORAL LN
CORNELIUS, NC 28031-9745
Phone number: 704-892-5390
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