Individual
MRS. GOLDA WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
920 S 2ND ST, MOUNT VERNON, WA 98273-4205
(360) 428-6141
Mailing address
920 S 2ND ST, MOUNT VERNON, WA 98273-4205
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
464313F
WA
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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