Waggoner, Alisha

Waggoner, Alisha is an individual health care provider with primary practice located at 1400 Hensley Dr , Tahlequah OK 74464-5221. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Waggoner, Alisha can be contacted via phone (918) 207-3031.

Contact Information

Primary practice address
1400 Hensley Dr Tahlequah OK 74464-5221
Phone: (918) 207-3031
Fax: (918) 207-3064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1568686061
LBN Legal business name Waggoner, Alisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated May 1st, 2008 - about 16 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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