Wagoner, Sylvia L
Wagoner, Sylvia L is an individual health care provider with primary practice located at 1065 Vinehaven Dr , Concord NC 28025-2439. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagoner, Sylvia L can be contacted via phone (704) 786-9181.Contact Information
Primary practice address
1065 Vinehaven Dr
Concord NC 28025-2439
Phone: (704) 786-9181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C000402 | North Carolina |
Profile Details
| NPI number | 1659495679 |
|---|---|
| LBN Legal business name | Wagoner, Sylvia L |
| Credentials | ACSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659495679 | NPPES |
| North Carolina | Other | 85200 | BLUE CROSS BLUE SHIELD |
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