SAMANTHA BROOKE WAGNER

OCEANSIDE, CA
NPI1013415199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-01-24
Last Update Date2018-01-24
Business Address
SAMANTHA BROOKE WAGNER
3230 WARING CT STE A
OCEANSIDE, CA 92056-4509
Phone number: 760-305-7528
Mailing Address
SAMANTHA BROOKE WAGNER
3230 WARING CT STE A
OCEANSIDE, CA 92056-4509
Phone number: 760-305-7528