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Individual

DR. ALWIN EDWARD WAGENER IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
923 MCCARTNEY ST, EASTON, PA 18042-1566
(828) 215-8872
Mailing address
923 MCCARTNEY ST, EASTON, PA 18042-1566
(828) 215-8872

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00948000
NJ
101YP2500X
Professional Counselor
Primary
PC016381
PA

Other

Enumeration date
03/24/2017
Last updated
02/14/2025
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