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1962875245
AUTUMN WAGONER
AKRON, OH
NPI
1962875245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.1500301)
Enumeration Date
2015-11-09
Last Update Date
2015-11-09
Business Address
-- AUTUMN WAGONER LISW
535 E. MARKET STREET
AKRON, OH 44304
Phone number: 330-379-0667
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Mailing Address
-- AUTUMN WAGONER LISW
5982 RHODES RD
KENT, OH 44240-8100
Phone number: 330-673-1347
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