DIANNE WAGONER

ROCKAWAY, NJ
NPI1285275446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37CA000098200)
Enumeration Date2019-09-30
Last Update Date2019-09-30
Business Address
DIANNE WAGONER
200 E MAIN ST
ROCKAWAY, NJ 07866-3614
Phone number: 973-229-3198
Mailing Address
DIANNE WAGONER
8 RESERVOIR RD
LAKE HOPATCONG, NJ 07849-1712
Phone number: 973-663-1303
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