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1760267165
KELLIE WAGNER
SCOTTSDALE, AZ
NPI
1760267165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-21955)
Enumeration Date
2023-08-25
Last Update Date
2023-08-25
Business Address
KELLIE WAGNER LAC
10901 E MCDOWELL RD
SCOTTSDALE, AZ 85256-5300
Phone number: 480-362-2603
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Mailing Address
KELLIE WAGNER LAC
10901 E MCDOWELL RD
SCOTTSDALE, AZ 85256-5300
Phone number: 480-362-2603
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