Individual
MARIBETH WAGGANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 OLIVE ST, SAINT LOUIS, MO 63103-1424
(314) 371-6500
Mailing address
470 E LOCKWOOD AVE, WEBSTER GROVES, MO 63119-3141
(636) 219-2330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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