# WAGAMAN ENTERPRISES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740461854
- **Authorized official:** DR. JEFFREY DANIEL WAGAMAN PH.D. (OWNER/ PRESIDENT)
- **Authorized official phone:** (360) 866-7406

## Contact information

- **Practice address:** 2100 CATON WAY SW, OLYMPIA, WA 98502-1105
- **Practice address phone:** (360) 866-7406
- **Practice address fax:** (360) 570-3325
- **Mailing address:** 2100 CATON WAY SW, OLYMPIA, WA 98502-1105
- **Mailing address phone:** (360) 866-7406
- **Mailing address fax:** (360) 570-3325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PY 1722 | WA | Yes |

## Other

- **Enumeration date:** 11/16/2007
- **Last updated:** 01/25/2010