Individual
MS. KELSEY WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-6234
(888) 291-4357
Mailing address
670 SLY FOX DR, CLARKSVILLE, TN 37040-6234
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TN
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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