SHANNON MARIE WAGNER

POMPANO BEACH, FL
NPI1538780077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: FL  SW16190)
Enumeration Date2020-05-06
Last Update Date2020-05-06
Business Address
SHANNON MARIE WAGNER LCSW
2310 E ATLANTIC BLVD BLDG 2
POMPANO BEACH, FL 33062-5251
Phone number: 954-990-7171
Mailing Address
SHANNON MARIE WAGNER LCSW
2310 E ATLANTIC BLVD BLDG 2
POMPANO BEACH, FL 33062-5251
Phone number: 954-990-7171
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