Wagner, Donna Marie
Wagner, Donna Marie is an individual health care provider with primary practice located at 1601 Yosemite Blvd Suite A, Modesto CA 95354-2800. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wagner, Donna Marie can be contacted via phone (209) 341-1824.Contact Information
Primary practice address
1601 Yosemite Blvd Suite A
Modesto CA 95354-2800
Phone: (209) 341-1824
Fax: (209) 523-1296
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC33775 | California |
Profile Details
NPI number | 1912064676 |
---|---|
LBN Legal business name | Wagner, Donna Marie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 2nd, 2007 |
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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