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1740311372
ALLEN WAGNER
LOS ANGELES, CA
NPI
1740311372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC45448)
Enumeration Date
2007-03-07
Last Update Date
2016-09-22
Business Address
Mr. ALLEN WAGNER M.A.
5757 WILSHIRE BLVD STE 635
LOS ANGELES, CA 90036-3686
Phone number: 310-429-5310
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Mailing Address
Mr. ALLEN WAGNER M.A.
5757 WILSHIRE BLVD STE 635
LOS ANGELES, CA 90036-3686
Phone number: 310-429-5310
Copy
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