MELISSA R WAGNER

DALLAS, NC
NPI1932664075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  25261)
Enumeration Date2019-02-03
Last Update Date2019-02-03
Business Address
MELISSA R WAGNER LCASA
1824 RATCHFORD DR
DALLAS, NC 28034-7528
Phone number: 704-964-1793
Mailing Address
MELISSA R WAGNER LCASA
549 COX RD
GASTONIA, NC 28054-0628
Phone number: 704-964-1793
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