Individual
SHEKIAH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8362 PINES BLVD, PEMBROKE PINES, FL 33024-6600
(954) 364-8842
Mailing address
4878 OLD BAINBRIDGE RD, TALLAHASSEE, FL 32303-7210
(954) 558-2736
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MT5172
FL
Other
Enumeration date
08/14/2018
Last updated
09/12/2025
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