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1871211326
LIA WAGNER
DURHAM, NC
NPI
1871211326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist School
Enumeration Date
2022-08-19
Last Update Date
2022-08-19
Business Address
LIA WAGNER
3211 LASSITER ST
DURHAM, NC 27707-3879
Phone number: 518-928-5019
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Mailing Address
LIA WAGNER
3211 LASSITER ST
DURHAM, NC 27707-3879
Phone number:
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