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1891576021
MELISSA CHANELL WAGNER
PHOENIX, AZ
NPI
1891576021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: AZ PSY-005630)
Enumeration Date
2023-10-12
Last Update Date
2023-10-12
Business Address
Dr. MELISSA CHANELL WAGNER PhD
1111 E MCDOWELL RD
PHOENIX, AZ 85006-2612
Phone number: 480-241-8122
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Mailing Address
Dr. MELISSA CHANELL WAGNER PhD
3929 S NEBRASKA ST
CHANDLER, AZ 85248-4571
Phone number: 480-241-8122
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