KENYADA MARIE WAGONER

RIVERSIDE, CA
NPI1760172688
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  114731)
Enumeration Date2023-05-12
Last Update Date2023-05-12
Business Address
KENYADA MARIE WAGONER LCSW
3939 13TH ST
RIVERSIDE, CA 92501-3505
Phone number: 951-214-5071
Mailing Address
KENYADA MARIE WAGONER LCSW
315 E ESPLANADE AVE # 1581
SAN JACINTO, CA 92583-5102
Phone number: 951-214-5071
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