Van Wagner, Katherine Anna
Van Wagner, Katherine Anna is an individual health care provider with primary practice located at 50 Joy Dr , South Burlington VT 05403-6561. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Van Wagner, Katherine Anna can be contacted via phone (802) 864-7467.Contact Information
Primary practice address
50 Joy Dr
South Burlington VT 05403-6561
Phone: (802) 864-7467
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089.0115736 | Vermont |
Profile Details
| NPI number | 1588210066 |
|---|---|
| LBN Legal business name | Van Wagner, Katherine Anna |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2019 |
| Last updated | Aug 12th, 2019 - about 7 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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