JASON F WAGNER
Mental Health at 18, Hollywood, FL

License number
Florida 4700
Issued Date
Jun 25, 2004
Effective Date
Dec 4, 2006
Expiration Date
Mar 31, 2007
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address 2
10941 NW 18Th St, Hollywood, FL 33026
7481 W Oakland Park Blvd SUITE 10, Fort Lauderdale, FL 33319
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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