Wagner, Lynnette Yvonne
Wagner, Lynnette Yvonne is an sole proprietor health care provider with primary practice located at 18101 Hartley Dr , Brainerd MN 56401-7915. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagner, Lynnette Yvonne can be contacted via phone (218) 828-4611.Contact Information
Primary practice address
18101 Hartley Dr
Brainerd MN 56401-7915
Phone: (218) 828-4611
Fax: (218) 828-4611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1295992907 |
|---|---|
| LBN Legal business name | Wagner, Lynnette Yvonne |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2008 |
| Last updated | Oct 4th, 2017 - about 9 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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