Individual
BRITTTANY WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1288 N TAPADERO DR APT C, DEWEY, AZ 86327-5823
(928) 499-8069
Mailing address
1288 N TAPADERO DR APT C, DEWEY, AZ 86327-5823
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4116576
OR
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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