DIANE MARIE WAGNER

GAINESVILLE, FL
NPI1770502338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IA  01216)
Enumeration Date2006-07-18
Last Update Date2007-07-08
Business Address
MS. DIANE MARIE WAGNER LISW
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Phone number: 352-376-1611
Mailing Address
MS. DIANE MARIE WAGNER LISW
340 SW 62ND BLVD #3
GAINESVILLE, FL 32607
Phone number: 352-331-0385
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