Wagner, Beverly Anne
Wagner, Beverly Anne is an sole proprietor health care provider with primary practice located at 161 Landmark Dr , Taylors SC 29687-2819. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagner, Beverly Anne can be contacted via phone (864) 244-0154.Contact Information
Primary practice address
161 Landmark Dr
Taylors SC 29687-2819
Phone: (864) 244-0154
Fax: (864) 609-5003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5028 | South Carolina |
Profile Details
| NPI number | 1861553596 |
|---|---|
| LBN Legal business name | Wagner, Beverly Anne |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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