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1750048898
WAGENER THERAPY PLC
DAVENPORT, IA
NPI
1750048898
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Entity Type
Organization
Authorized Contact
BRANDAL J WAGENER
Owner
224-216-4209
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-11-23
Last Update Date
2023-05-08
Business Address
WAGENER THERAPY PLC
6119 DEERE CREEK LN
DAVENPORT, IA 52807-3402
Phone number: 224-216-4209
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Mailing Address
WAGENER THERAPY PLC
4620 E 53RD ST
DAVENPORT, IA 52807-3620
Phone number: 224-216-4209
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