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1023258704
LINDA K WAGGONER
TWIN FALLS, ID
NPI
1023258704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID LPC203)
Enumeration Date
2009-02-20
Last Update Date
2009-02-20
Business Address
LINDA K WAGGONER LPC
493 EASTLAND
TWIN FALLS, ID 83303-0047
Phone number: 208-732-0995
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Mailing Address
LINDA K WAGGONER LPC
4265 NORTH 1400 EAST
BUHL, ID 83316
Phone number: 208-490-0800
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