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1821427287
JASON LEIGH WAGNER
SIOUX CITY, IA
NPI
1821427287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IA 001550)
Enumeration Date
2013-11-06
Last Update Date
2013-11-06
Business Address
MR. JASON LEIGH WAGNER L.M.H.C.
505 5TH ST. SUITE 520
SIOUX CITY, IA 51101
Phone number: 712-259-2681
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Mailing Address
MR. JASON LEIGH WAGNER L.M.H.C.
505 5TH ST. SUITE 520
SIOUX CITY, IA 51101
Phone number: 712-259-2681
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