KATHLEEN DANEHY WAGONER

CHARLOTTE, NC
NPI1659924447
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  A15003)
Enumeration Date2019-07-20
Last Update Date2019-07-20
Business Address
KATHLEEN DANEHY WAGONER NCC, LPCA
4008 PROVIDENCE RD APT H
CHARLOTTE, NC 28211-4465
Phone number: 901-270-7466
Mailing Address
KATHLEEN DANEHY WAGONER NCC, LPCA
4008 PROVIDENCE RD APT H
CHARLOTTE, NC 28211-4465
Phone number: 901-270-7466
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