WAGNER PSYCHOTHERAPY LLC

FAIRFAX, VA
NPI1962179804
Entity TypeOrganization
Authorized ContactDIANE WAGNER
Owner
703-646-1518
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist Clinical
Enumeration Date2021-08-27
Last Update Date2021-08-27
Business Address
WAGNER PSYCHOTHERAPY LLC
8280 WILLOW OAKS CORPORATE DRIVE SUITE 600 - #5752
FAIRFAX, VA 22031-4516
Phone number: 703-646-1518
Mailing Address
WAGNER PSYCHOTHERAPY LLC
10911 ADARE DR
FAIRFAX, VA 22032-3105
Phone number: 703-646-1518
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