THOMAS HARRY WAGENSELLER

SAN LEANDRO, CA
NPI1801037932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-03-19
Last Update Date2009-03-19
Business Address
-- THOMAS HARRY WAGENSELLER
1403 164TH AVE
SAN LEANDRO, CA 94578-3123
Phone number: 510-792-4357
Mailing Address
-- THOMAS HARRY WAGENSELLER
16627 SELBY DR
SAN LEANDRO, CA 94578-1235
Phone number:
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