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1982316972
PAMELA JEAN WAGNER
PRESCOTT, AZ
NPI
1982316972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: AZ LPC-21646)
Enumeration Date
2022-12-21
Last Update Date
2022-12-21
Business Address
PAMELA JEAN WAGNER LPC
3390 MARIGOLD DR
PRESCOTT, AZ 86305-3714
Phone number: 928-499-2358
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Mailing Address
PAMELA JEAN WAGNER LPC
3390 MARIGOLD DR
PRESCOTT, AZ 86305-3714
Phone number: 928-499-2358
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