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1831504901
DENISE LOUISE WAGNER
LAS CRUCES, NM
NPI
1831504901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA lcs17251)
Enumeration Date
2014-06-26
Last Update Date
2021-10-20
Business Address
Dr. DENISE LOUISE WAGNER PsyD, LCSW
2055 CORTABELLA
LAS CRUCES, NM 88005-8233
Phone number: 575-545-3294
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Mailing Address
Dr. DENISE LOUISE WAGNER PsyD, LCSW
320 10TH ST SUITE 201
SANTA ROSA, CA 95401-5291
Phone number: 707-527-6000
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