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Individual
DR. LILIET WAGNER
Active
Individual
DR. LILIET WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY19080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190800
—
CA
Enumeration date
11/02/2006
Last updated
02/11/2026
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