SHANNON WAGONER

CARMEL, IN
NPI1760191399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34007200A)
Enumeration Date2022-11-22
Last Update Date2023-03-29
Business Address
SHANNON WAGONER LCSW
697 PRO MED LN
CARMEL, IN 46032-5323
Phone number: 317-574-1254
Mailing Address
SHANNON WAGONER LCSW
9615 E 148TH ST STE 1
NOBLESVILLE, IN 46060-4371
Phone number: 317-574-1254
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