Shannon Wagner
Shannon Wagner is a Community/Behavioral Health Agency in Concord, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2086 Commerce AveConcord, CA 94520-4902
Phone: (925) 827-0212
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1467590737 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 1, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 3413 Smoketree Commons, Pleasanton, CA 94566-7963 |
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