Individual
KERI WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP
Contact information
Practice address
1400 NW 122ND ST, OKLAHOMA CITY, OK 73114-8027
(405) 751-3600
Mailing address
19921 RONDO DR, EDMOND, OK 73012-6558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4362
OK
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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