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1952841678
LESLIE WAGNER
TOWSON, MD
NPI
1952841678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 18963)
Enumeration Date
2017-02-28
Last Update Date
2017-02-28
Business Address
-- LESLIE WAGNER LCSW-C
658 KENILWORTH DR SUITE 206
TOWSON, MD 21204-2312
Phone number: 443-928-0903
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Mailing Address
-- LESLIE WAGNER LCSW-C
13409 CAMBRIA FARMS RD
PHOENIX, MD 21131-1637
Phone number: 443-928-0903
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