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Organization
EDWARD LESTER KRAGER
Active
Organization
EDWARD LESTER KRAGER
Active
Other names
Phoenix Mental Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KRAGER LMFT (OWNER)
(209) 271-3595
Entity
Organization
Contact information
Practice address
510 S FAIRMONT AVE STE 1, LODI, CA 95240-3800
(209) 271-3595
Mailing address
2617 BIRCH AVE, STOCKTON, CA 95207-1312
(209) 271-3595
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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