Agbavon, Della
Agbavon, Della is an individual health care provider with primary practice located at 401 Broadway Ste 100 , Tacoma WA 98402-3900. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Agbavon, Della can be contacted via phone (206) 880-1359.Contact Information
Primary practice address
401 Broadway Ste 100
Tacoma WA 98402-3900
Phone: (206) 880-1359
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LW60944792 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW60944792 | Washington |
Profile Details
| NPI number | 1437746930 |
|---|---|
| LBN Legal business name | Agbavon, Della |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2020 |
| Last updated | Mar 18th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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