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1972877678
CHRIS D WAGNER
SAN DIEGO, CA
NPI
1972877678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS15622)
Enumeration Date
2012-02-28
Last Update Date
2012-02-28
Business Address
CHRIS D WAGNER LCSW
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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Mailing Address
CHRIS D WAGNER LCSW
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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