Individual
MS. BROOKE WAGANFEALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S BYRNE RD, TOLEDO, OH 43615-6212
(419) 531-5544
(419) 531-5117
Mailing address
PO BOX 20068, TOLEDO, OH 43610-0068
(419) 531-5544
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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