Wagner, Shannon Marie

Wagner, Shannon Marie is an sole proprietor health care provider with primary practice located at 2310 E Atlantic Blvd Bldg 2 , Pompano Beach FL 33062-5251. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wagner, Shannon Marie can be contacted via phone (954) 990-7171.

Contact Information

Primary practice address
2310 E Atlantic Blvd Bldg 2 Pompano Beach FL 33062-5251
Phone: (954) 990-7171
Fax: (954) 530-5992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X SW16190 Florida

Profile Details

NPI number 1538780077
LBN Legal business name Wagner, Shannon Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2020
Last updated May 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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