Waggoner, Susan
Waggoner, Susan is an individual health care provider with primary practice located at 1300 E Bradford Pkwy Burrell Behavioral Health, Springfield MO 65804-4264. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Waggoner, Susan can be contacted via phone (417) 269-5400.Contact Information
Primary practice address
1300 E Bradford Pkwy Burrell Behavioral Health
Springfield MO 65804-4264
Phone: (417) 269-5400
Fax: (417) 269-7212
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Missouri |
Profile Details
NPI number | 1831184985 |
---|---|
LBN Legal business name | Waggoner, Susan |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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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