Wagner, Brooke Leigh
Wagner, Brooke Leigh is an sole proprietor health care provider with primary practice located at 6539 Anthony Dr Ste A , Victor NY 14564-1441. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagner, Brooke Leigh can be contacted via phone (585) 398-8835.Contact Information
Primary practice address
6539 Anthony Dr Ste A
Victor NY 14564-1441
Phone: (585) 398-8835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 093973-01 | New York |
Profile Details
| NPI number | 1265154454 |
|---|---|
| LBN Legal business name | Wagner, Brooke Leigh |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2022 |
| Last updated | Sep 14th, 2022 - about 3 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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