Individual
DR. MARA SANADI WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
23 POKONOKET AVE, SUDBURY, MA 01776-2320
(978) 443-6769
(978) 440-9914
Mailing address
23 POKONOKET AVE, SUDBURY, MA 01776-2320
(978) 443-6769
(978) 440-9914
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4122
MA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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