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1013680545
SHANNON WAGNER
SCHENECTADY, NY
NPI
1013680545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 107901-01)
Enumeration Date
2021-07-30
Last Update Date
2021-07-30
Business Address
SHANNON WAGNER LMSW
1 GENIUM PLZ
SCHENECTADY, NY 12304-4607
Phone number: 518-346-1285
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Mailing Address
SHANNON WAGNER LMSW
10 VERNON BLVD
SCOTIA, NY 12302-2606
Phone number:
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