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Individual

MS. HEATHER LYNNE WAGGONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISWS

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I0007672S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000003211683
ANTHEM BCBS
OH
Enumeration date
03/19/2008
Last updated
03/19/2008
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