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1922277243
DEBRA WAGNER
FORT BRAGG, CA
NPI
1922277243
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Former Name
DEBIRA BRANSCOMBE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 45870)
Enumeration Date
2008-02-21
Last Update Date
2021-05-20
Business Address
DEBRA WAGNER M.A., M.F.T.
23690 N HIGHWAY 1
FORT BRAGG, CA 95437-8422
Phone number: 707-734-0153
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Mailing Address
DEBRA WAGNER M.A., M.F.T.
23690 N HIGHWAY 1
FORT BRAGG, CA 95437-8422
Phone number: 707-734-0153
Copy
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