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1821145012
WHITNEY WAGNER
PASADENA, CA
NPI
1821145012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC35601)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
Ms. WHITNEY WAGNER LMFT
180 S LAKE AVE STE. 320
PASADENA, CA 91101-2663
Phone number: 626-786-8730
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Mailing Address
Ms. WHITNEY WAGNER LMFT
1613 CHELSEA RD #805
SAN MARINO, CA 91108-2419
Phone number: 626-786-8730
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