SAMANTHA WAGNER

HACKENSACK, NJ
NPI1669801791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SL05714100)
Enumeration Date2013-11-08
Last Update Date2017-04-26
Business Address
-- SAMANTHA WAGNER
30 PROSPECT AVE
HACKENSACK, NJ 07601-1914
Phone number: 201-527-8663
Mailing Address
-- SAMANTHA WAGNER
30 PROSPECT AVE
HACKENSACK, NJ 07601-1914
Phone number:
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