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1659924447
KATHLEEN DANEHY WAGONER
CHARLOTTE, NC
NPI
1659924447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A15003)
Enumeration Date
2019-07-20
Last Update Date
2019-07-20
Business Address
KATHLEEN DANEHY WAGONER NCC, LPCA
4008 PROVIDENCE RD APT H
CHARLOTTE, NC 28211-4465
Phone number: 901-270-7466
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Mailing Address
KATHLEEN DANEHY WAGONER NCC, LPCA
4008 PROVIDENCE RD APT H
CHARLOTTE, NC 28211-4465
Phone number: 901-270-7466
Copy
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