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Individual
DARETH LYNN WAGUESPACK
Active
Individual
DARETH LYNN WAGUESPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z12146
LA
225X00000X
Occupational Therapist
Primary
OTT.Z12147
LA
Other
Enumeration date
04/24/2020
Last updated
08/10/2026
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