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Individual

ELIZABETH WAGGONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
186 BRIANS LAKE RD, MOUNTAIN REST, SC 29664-9111
(864) 638-6005
Mailing address
186 BRIANS LAKE RD, P. O. BOX 87, MOUNTAIN REST, SC 29664-9111
(864) 638-6005

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6074
SC

Other

Enumeration date
03/03/2015
Last updated
03/03/2015
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