Individual
REBECCA WAGGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3071 E FRANKLIN RD, SUITE 201, MERIDIAN, ID 83642-2376
(208) 807-2877
(208) 807-2888
Mailing address
PO BOX 1603, MERIDIAN, ID 83680-1603
(208) 807-2877
(208) 807-2888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW1169
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010135718
REGENCE BLUE SHIELD
ID
01
—
L1831
BLUE CROSS OF ID
ID
Enumeration date
01/18/2007
Last updated
12/23/2025
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