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1538780077
SHANNON MARIE WAGNER
POMPANO BEACH, FL
NPI
1538780077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL SW16190)
Enumeration Date
2020-05-06
Last Update Date
2020-05-06
Business 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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Mailing Address
SHANNON MARIE WAGNER LCSW
2310 E ATLANTIC BLVD BLDG 2
POMPANO BEACH, FL 33062-5251
Phone number: 954-990-7171
Copy
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