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1831320647
ELISABETH WAGNER
MAITLAND, FL
NPI
1831320647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-07-29
Last Update Date
2009-07-29
Business Address
-- ELISABETH WAGNER
150 SPARTAN DR
MAITLAND, FL 32751-3468
Phone number: 407-331-8002
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Mailing Address
-- ELISABETH WAGNER
150 SPARTAN DR
MAITLAND, FL 32751-3468
Phone number:
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