Van Wagner, Taylor Marie
Van Wagner, Taylor Marie is an individual health care provider with primary practice located at 4160 Ocoee St N , Cleveland TN 37312-4885. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Van Wagner, Taylor Marie can be contacted via phone (423) 506-6306.Contact Information
Primary practice address
4160 Ocoee St N
Cleveland TN 37312-4885
Phone: (423) 506-6306
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1174015648 |
|---|---|
| LBN Legal business name | Van Wagner, Taylor Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2018 |
| Last updated | May 31st, 2018 - 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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