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1760957310
ELISE WAGNER
SPOKANE, WA
NPI
1760957310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101Y00000X Counselor
(Licence: WA CG60841239)
Enumeration Date
2018-10-10
Last Update Date
2018-10-10
Business Address
Ms. ELISE WAGNER CPC, AAC
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208-4700
Phone number: 328-704-1509
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Mailing Address
Ms. ELISE WAGNER CPC, AAC
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208-4700
Phone number: 328-704-1509
Copy
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