Wanga, Lucas Bosco

Wanga, Lucas Bosco is an sole proprietor health care provider with primary practice located at 715 Edgerton Street Merrick Community Services, St. Paul MN 55130. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Wanga, Lucas Bosco can be contacted via phone (612) 360-1966.

Contact Information

Primary practice address
715 Edgerton Street Merrick Community Services St. Paul MN 55130
Phone: (612) 360-1966
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 362637 Minnesota
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 362637 Minnesota
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 362637 Minnesota
Behavioral Health & Social Service Providers / School 103TS0200X 362637 Minnesota

Profile Details

NPI number 1881015253
LBN Legal business name Wanga, Lucas Bosco
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2014
Last updated Jan 2nd, 2014 - about 12 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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