Wagner, Bonnie Lynne
Wagner, Bonnie Lynne is an sole proprietor health care provider with primary practice located at 6765 Green Valley Rd , Placerville CA 95667-8984. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagner, Bonnie Lynne can be contacted via phone (530) 622-5551.Contact Information
Primary practice address
6765 Green Valley Rd
Placerville CA 95667-8984
Phone: (530) 622-5551
Fax: (530) 622-5800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW20649 | California |
Profile Details
| NPI number | 1477740876 |
|---|---|
| LBN Legal business name | Wagner, Bonnie Lynne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2007 |
| Last updated | Sep 28th, 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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