Individual
MADELAINE BAYLEE WAGGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24865 DETROIT RD, WESTLAKE, OH 44145-2512
(440) 250-8800
(440) 641-1170
Mailing address
867 VERMILION RD, VERMILION, OH 44089-1833
(440) 532-1372
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/14/2021
Last updated
03/14/2021
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