JASON FREDRICK WAGNER, BSN, RN, LMHC, MCAP
Nursing at 30 St, Hollywood, FL

License number
Florida MH8961
Category
Social Work
Type
Addiction (Substance Use Disorder)
License number
Florida RN9378875
Category
Nursing
Type
Addiction (Substance Use Disorder)
Address
Address
7950 SW 30Th St SUITE 200, Hollywood, FL 33328
Phone
(954) 210-5530
(888) 467-1802 (Fax)
(954) 483-5455
National Provider ID: 1720536691
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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