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1720223704
ANN LOUISE WAGNER
SAN JOSE, CA
NPI
1720223704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 20177)
Enumeration Date
2008-12-04
Last Update Date
2008-12-04
Business Address
Ms. ANN LOUISE WAGNER LCSW
828 S BASCOM AVE SUITE 100
SAN JOSE, CA 95128-2651
Phone number: 408-793-5959
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Mailing Address
Ms. ANN LOUISE WAGNER LCSW
828 S BASCOM AVE SUITE 100
SAN JOSE, CA 95128-2651
Phone number: 408-793-5959
Copy
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