Shannon Wagner, LCSW

NPI 1538780077 · on the registry since 2020 · sole proprietor

Practice

Address: 2310 E Atlantic Blvd Bldg 2
Pompano Beach, FL 33062
Phone: (954) 990-7171
Fax: (954) 530-5992
Organisation at this address: Tropical Recovery, Inc.
Rehab After Work Of Florida, Llc
Changes Treatment And Recovery, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida