Individual
DR. JEFFREY DANIEL WAGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2100 CATON WAY SW, OLYMPIA, WA 98502-1105
(360) 866-7406
(360) 570-3325
Mailing address
2100 CATON WAY SW, OLYMPIA, WA 98502-1105
(360) 866-7406
(360) 570-3325
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY1722
WA
Other
Enumeration date
03/25/2007
Last updated
10/27/2009
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