Wagner, Carly
Wagner, Carly is an individual health care provider with primary practice located at 3333 University Ave Se , Minneapolis MN 55414-3325. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wagner, Carly can be contacted via phone (651) 500-0680.Contact Information
Primary practice address
3333 University Ave Se
Minneapolis MN 55414-3325
Phone: (651) 500-0680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1518522200 |
|---|---|
| LBN Legal business name | Wagner, Carly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2019 |
| Last updated | May 8th, 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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