Individual
ALYSSA LYNN WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
17098 TRUETOWN RD, MILLFIELD, OH 45761-9772
(937) 751-8988
Mailing address
17098 TRUETOWN RD, MILLFIELD, OH 45761-9772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.15342
OH
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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