Eddie L Wagoner is a Clinical in Sherman, Texas. Eddie L Wagoner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eddie L Wagoner is 1366624298. The last update date is 2007-12-03.
Eddie L Wagoner's current location address is 804 Pecan Grove Rd E, Sherman, Texas. You can contact this provider via phone number 9038937768 and fax number 9038934979. The mailing address for Eddie L Wagoner is 804 Pecan Grove Rd E, Sherman, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eddie L Wagoner |
|---|---|
| Address | 804 Pecan Grove Rd E, Sherman, Texas |
| Phone Number | 9038937768 |
| Fax Number | 9038934979 |
| Sole Proprietor | N |
| Credentials | LPC, LCSW |
NPI Number Detail
| NPI Number | 1366624298 |
|---|---|
| Provider Enumeration Date | 2007-12-03 |
| Last Updated Date | 2007-12-03 |
Provider Mailing Address Detail
| Address | 804 Pecan Grove Rd E |
|---|---|
| City | Sherman |
| State | Texas (TX) |
| Post Code | 750901767 |
| Phone Number | 9038937768 |
| Fax Number | 9038934979 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 10473 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code issued to Eddie L Wagoner by the Centers for Medicare & Medicaid Services?
The Eddie L Wagoner has been assigned the NPI (National Provider Identifier) 1366624298 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Eddie L Wagoner located?
The Eddie L Wagoner is located at 804 Pecan Grove Rd E, Sherman, TX 750901767.
What is the Eddie L Wagoner's specialty and taxonomy code?
The Eddie L Wagoner's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366624298 to Eddie L Wagoner?
The Eddie L Wagoner received its 1366624298 assignment from the Centers for Medicare & Medicaid Services on 2007-12-03.
When was the information pertaining to Eddie L Wagoner most recently updated or revised?
The details related to Eddie L Wagoner, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-03.
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