Wagner, Betty Louise
Wagner, Betty Louise is an sole proprietor health care provider with primary practice located at 251 Ne Garden Valley Blvd Ste B , Roseburg OR 97470. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagner, Betty Louise can be contacted via phone (309) 360-7749.Contact Information
Primary practice address
251 Ne Garden Valley Blvd Ste B
Roseburg OR 97470
Phone: (309) 360-7749
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801081590 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L7525 | Oregon |
Profile Details
| NPI number | 1720132129 |
|---|---|
| LBN Legal business name | Wagner, Betty Louise |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jan 15th, 2021 - about 4 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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