Wagner, Larry Richard

Wagner, Larry Richard is an sole proprietor health care provider with primary practice located at 1816 Bull St , Columbia SC 29201-2506. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Wagner, Larry Richard can be contacted via phone (803) 735-8343.

Contact Information

Primary practice address
1816 Bull St Columbia SC 29201-2506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 657 South Carolina

Profile Details

NPI number 1659417905
LBN Legal business name Wagner, Larry Richard
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
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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