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1710754585
AMY LOUISE WAGNER
FAIRBANKS, AK
NPI
1710754585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
AMY LOUISE WAGNER MA
3504 INDUSTRIAL AVE STE 214
FAIRBANKS, AK 99701-7390
Phone number: 907-452-4673
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Mailing Address
AMY LOUISE WAGNER MA
3504 INDUSTRIAL AVE STE 214
FAIRBANKS, AK 99701-7390
Phone number: 907-452-4673
Copy
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