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1871553644
STEPHEN ANTHONY WAGNER
TACOMA, WA
NPI
1871553644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: WA PY00001619)
Enumeration Date
2006-03-25
Last Update Date
2008-04-29
Business Address
Dr. STEPHEN ANTHONY WAGNER
9601 STEILACOOM BLVD SW
TACOMA, WA 98498-7213
Phone number: 253-582-8900
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Mailing Address
Dr. STEPHEN ANTHONY WAGNER
9601 STEILACOOM BLVD SW
TACOMA, WA 98498-7213
Phone number: 253-582-8900
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