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1760684583
KATHERYN WAGNER
PLYMOUTH, MA
NPI
1760684583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
-- KATHERYN WAGNER
2 SCHOOL ST
PLYMOUTH, MA 02360-3964
Phone number: 508-830-1234
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Mailing Address
-- KATHERYN WAGNER
27 COLE ST
KINGSTON, MA 02364-1748
Phone number: 781-585-1075
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