Individual
BRYNN WENDY WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4409 HELSTON DR, PLANO, TX 75024-3748
(972) 584-0284
(866) 323-1955
Mailing address
6308 WINDCREST DR APT 2627, PLANO, TX 75024-3024
(512) 773-9470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105928
TX
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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