Van Wagoner Consulting, Inc.

NPI #1184831323 in Rigby, Idaho

Provider Information

NPI Number: 1184831323
Entity Type: Organization
Organization Name: Van Wagoner Consulting, Inc.
Primary Specialty: Case Management
Enumeration Date: May 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 177 E MAIN ST
City: Rigby
State: Idaho
ZIP Code: 83442-1417
Phone: (208) 745-1093

Authorized Official

Name: MRS. TAMMRAH L VAN WAGONER, LSW
Title: PRESIDENT
Phone: (208) 745-1093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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