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1700210176
KATHLEEN WAGNER
COLUMBIA, SC
NPI
1700210176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 9909)
Enumeration Date
2013-08-21
Last Update Date
2014-02-27
Business Address
-- KATHLEEN WAGNER LMSW
1332 PICKENS ST
COLUMBIA, SC 29201-3430
Phone number: 803-771-4367
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Mailing Address
-- KATHLEEN WAGNER LMSW
PO BOX 3788
COLUMBIA, SC 29230-3788
Phone number: 803-733-5969
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