Kavanaugh, Marjorie Wing

Kavanaugh, Marjorie Wing is an sole proprietor health care provider with primary practice located at 2425 Mallard Ln. #3, Beavercreek OH 45431-3678. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kavanaugh, Marjorie Wing can be contacted via phone (937) 427-2427.

Contact Information

Primary practice address
2425 Mallard Ln. #3 Beavercreek OH 45431-3678
Phone: (937) 427-2427
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C0004614 Ohio

Profile Details

NPI number 1790161842
LBN Legal business name Kavanaugh, Marjorie Wing
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2015
Last updated Jul 30th, 2015 - about 10 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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