Ortiz Thayne, Wanda Socorro
Ortiz Thayne, Wanda Socorro is an individual health care provider with primary practice located at 4199 Spruce Wood Dr , Beavercreek OH 45432-4124. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ortiz Thayne, Wanda Socorro can be contacted via phone (808) 295-7362.Contact Information
Primary practice address
4199 Spruce Wood Dr
Beavercreek OH 45432-4124
Phone: (808) 295-7362
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6307 | South Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW13132 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 98196273501 | Utah |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C2154 | New Mexico |
Profile Details
| NPI number | 1417415464 |
|---|---|
| LBN Legal business name | Ortiz Thayne, Wanda Socorro |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2019 |
| Last updated | Mar 8th, 2019 - about 6 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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