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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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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