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
Fax: (864) 609-5003
Website:

Health care specialties

SpecialtyCodeLicense #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 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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