Individual
LINDSEY WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 HARBER ROAD, GROVE, OK 74344
(918) 786-4434
(918) 786-4435
Mailing address
56625 E 130 ROAD, MIAMI, OK 74354
(918) 919-2614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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