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1821379520
LISA M WAGNER
CONCORD, CA
NPI
1821379520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 63977)
Enumeration Date
2011-09-08
Last Update Date
2011-09-08
Business Address
-- LISA M WAGNER MA, MFT, PPS
2730 SALVIO ST
CONCORD, CA 94519-2599
Phone number: 925-285-6848
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Mailing Address
-- LISA M WAGNER MA, MFT, PPS
2730 SALVIO ST
CONCORD, CA 94519-2599
Phone number:
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