SAMANTHA WAGONER

CLEVELAND, OH
NPI1437724937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: OH  S.2207212)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
172V00000X Community Health Worker
Enumeration Date2021-05-26
Last Update Date2022-11-08
Business Address
SAMANTHA WAGONER QMHS3YRS CMS
3500 CARNEGIE AVE
CLEVELAND, OH 44115-2641
Phone number: 440-260-8300
Mailing Address
SAMANTHA WAGONER QMHS3YRS CMS
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH 44118-4819
Phone number: 216-320-8932