Wagemaker, Mark

Wagemaker, Mark is an sole proprietor health care provider with primary practice located at 402B Adamson Sq Suite 11, Carrollton GA 30117-3214. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wagemaker, Mark can be contacted via phone (404) 580-6684.

Contact Information

Primary practice address
402B Adamson Sq Suite 11 Carrollton GA 30117-3214
Phone: (404) 580-6684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC5042 Georgia

Profile Details

NPI number 1891826822
LBN Legal business name Wagemaker, Mark
Credentials LPC 5042
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Aug 5th, 2009 - about 15 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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