Individual
MR. TERRY RAY WAGGONER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
3103 N MICHIGAN ST, PITTSBURG, KS 66762-2545
(620) 231-5130
Mailing address
3103 N MICHIGAN ST, PITTSBURG, KS 66762-2545
(620) 231-5130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06897
KS
Other
Enumeration date
02/03/2023
Last updated
08/05/2025
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