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1881903375
AMANDA WAGNER
CHARLESTON, SC
NPI
1881903375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 5209)
Enumeration Date
2010-09-30
Last Update Date
2010-10-04
Business Address
Mrs. AMANDA WAGNER MA, LPC
125 DOUGHTY ST SUITE 190
CHARLESTON, SC 29403-5736
Phone number: 843-792-0484
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Mailing Address
Mrs. AMANDA WAGNER MA, LPC
67 PRESIDENT ST MSC 861
CHARLESTON, SC 29425-8150
Phone number: 843-792-0484
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