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1881996668
SUSAN FRANCIS WAGNER
IRMO, SC
NPI
1881996668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 5206)
Enumeration Date
2010-11-30
Last Update Date
2010-11-30
Business Address
-- SUSAN FRANCIS WAGNER LPC
7511 SAINT ANDREWS RD SUITE 3
IRMO, SC 29063-2894
Phone number: 803-240-5448
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Mailing Address
-- SUSAN FRANCIS WAGNER LPC
114 GLEN RIDGE CT
IRMO, SC 29063-8494
Phone number: 803-240-5448
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