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1649813973
JOHN EDWARD WAGNER
CLIFTON, NJ
NPI
1649813973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NJ 44SL06420400)
Enumeration Date
2019-10-18
Last Update Date
2019-10-18
Business Address
JOHN EDWARD WAGNER LSW
53 ORCHARD ST
CLIFTON, NJ 07013-1832
Phone number: 973-773-7600
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Mailing Address
JOHN EDWARD WAGNER LSW
53 ORCHARD ST
CLIFTON, NJ 07013-1832
Phone number: 973-773-7600
Copy
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