SHANE WAGNER, MHPP

Case Manager/Care Coordinator

Active Individual
NPI: 1548413925

Practice Address

3111 S 70TH ST
Fort Smith, AR 72903

Phone: (479) 452-6650

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1548413925 is the National Provider Identifier for SHANE WAGNER, MHPP, a Case Manager/Care Coordinator provider located in Fort Smith, AR. This NPI was enumerated on October 29, 2008.
SHANE WAGNER, MHPP practices at 3111 S 70TH ST, Fort Smith, AR 72903.

Quick Facts

NPI
1548413925
Type
Individual
Enumerated
Oct 29, 2008
Last Updated
Mar 6, 2024

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