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Individual

CYNTHIA WAGGONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
21 E STATE ST, COLUMBUS, OH 43215-4281
(574) 546-1900
(574) 546-1996
Mailing address
PO BOX 11167, FORT WAYNE, IN 46856-1167
(574) 546-1900

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4637
OH

Other

Enumeration date
12/06/2021
Last updated
12/05/2024
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