Individual
DEMI WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 W MACON ST, CARTHAGE, MO 64836-2938
(417) 359-7060
Mailing address
1015 W MACON ST, CARTHAGE, MO 64836-2938
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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