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Individual
DAN WARGO
Active
Individual
DAN WARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
1208
NH
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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