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1841660636
KELL WAGNER
MEDFORD, OR
NPI
1841660636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C6938)
Enumeration Date
2015-10-06
Last Update Date
2024-01-18
Business Address
KELL WAGNER NCC, LPC Associate
1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504-6295
Phone number: 541-840-7684
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Mailing Address
KELL WAGNER NCC, LPC Associate
1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504-6295
Phone number:
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