KATHRYN BEATRICE WAGONER

FAIRFIELD, CA
NPI1548918832
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2022-03-15
Last Update Date2022-03-15
Business Address
KATHRYN BEATRICE WAGONER
609 JEFFERSON ST
FAIRFIELD, CA 94533-6293
Phone number: 707-399-9190
Mailing Address
KATHRYN BEATRICE WAGONER
1812 SAN JOSE DR
ANTIOCH, CA 94509-4136
Phone number: 925-594-0786
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