LORI B WAGNER
Psychologist


Address: 202 Autumn Lane, Brewster, NY 10509

LORI B WAGNER (Credential# 791031) is licensed (Psychologist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

LORI B WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #8.002706. The credential type is psychologist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 202 Autumn Lane, Brewster, NY 10509. The current status is active.

Basic Information

Licensee Name LORI B WAGNER
Credential ID 791031
Credential Number 8.002706
Credential Type Psychologist
Business Address 202 Autumn Lane
Brewster
NY 10509
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2006-06-09
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-04-01

Office Location

Street Address 202 Autumn Lane
City Brewster
State NY
Zip Code 10509

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Taylor Jendras 391 Gage Road, Brewster, NY 10509 Registered Nurse 2020-08-01 ~ 2021-07-31
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Lorraine Salavec 22 Windswept Circle, Brewster, NY 10509 Registered Nurse 2020-07-01 ~ 2021-06-30
Katelyn M Healy 2 Wilson Road, Brewster, NY 10509 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Mary Ann Stabe 105 Bentley Ct, Brewster, NY 10509 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Paul Wasserman 88 Lakeview Drive, Brewster, NY 10509 Physical Therapist 2020-07-01 ~ 2021-06-30
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Competitor

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City Brewster
Zip Code 10509
License Type Psychologist
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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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