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1700400082
KINGA WAGNER
CHICAGO, IL
NPI
1700400082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180012904)
Enumeration Date
2020-06-03
Last Update Date
2020-06-03
Business Address
KINGA WAGNER LCPC
700 N SACRAMENTO BLVD STE 201
CHICAGO, IL 60612-1058
Phone number: 773-842-4333
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Mailing Address
KINGA WAGNER LCPC
700 N SACRAMENTO BLVD STE 201
CHICAGO, IL 60612-1058
Phone number:
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