SHANNON LEE WAGNER

MANCHESTER, CT
NPI1225686538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-08-29
Last Update Date2019-08-29
Business Address
SHANNON LEE WAGNER
203 UNION ST
MANCHESTER, CT 06042-1938
Phone number: 860-455-3629
Mailing Address
SHANNON LEE WAGNER
203 UNION ST
MANCHESTER, CT 06042-1938
Phone number: 860-455-3629
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