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Individual

ADRIANNE WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
511 W MAIN ST, TRAPPE, PA 19426-1923
(610) 329-5776
Mailing address
511 W MAIN ST, TRAPPE, PA 19426-1923

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MF000981
PA
101Y00000X
Counselor

Other

Enumeration date
12/28/2015
Last updated
05/02/2019
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