Wagoner, Tonya Lavon

Wagoner, Tonya Lavon is an sole proprietor health care provider with primary practice located at 6512 Ronald Rd Apt T1 , Capitol Heights MD 20743-4481. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wagoner, Tonya Lavon can be contacted via phone (202) 819-3316.

Contact Information

Primary practice address
6512 Ronald Rd Apt T1 Capitol Heights MD 20743-4481
Phone: (202) 819-3316
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC12354 Maryland

Profile Details

NPI number 1982374583
LBN Legal business name Wagoner, Tonya Lavon
Credentials LGPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2021
Last updated Jun 1st, 2023 - about 2 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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