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1730265042
WILLIAM G WAGNER
ALBUQUERQUE, NM
NPI
1730265042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-3886)
Enumeration Date
2006-10-29
Last Update Date
2007-07-08
Business Address
Mr. WILLIAM G WAGNER LISW
1330 LOMAS BLVD NW
ALBUQUERQUE, NM 87104-1234
Phone number: 505-604-1640
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Mailing Address
Mr. WILLIAM G WAGNER LISW
2531 CAMPBELL RD NW
ALBUQUERQUE, NM 87104-3103
Phone number: 505-604-1640
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