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Individual

NICOLE WAUGAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4250 GLENN AVE, COVINGTON, KY 41015-1641
(859) 431-2244
Mailing address
764 ROGERS RD, VILLA HILLS, KY 41017-1045
(859) 640-6668

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
09/02/2020
Last updated
09/02/2020
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