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1992358741
MARK WAGNER
SALISBURY, MD
NPI
1992358741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD 15324)
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
Mr. MARK WAGNER LCSW-C
540 RIVERSIDE DR STE 8
SALISBURY, MD 21801-5352
Phone number: 410-548-3333
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Mailing Address
Mr. MARK WAGNER LCSW-C
540 RIVERSIDE DR STE 8
SALISBURY, MD 21801-5352
Phone number: 410-548-3333
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