STEPHANIE WAGGONER

HUNTINGTON, WV
NPI1073672051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WV  C1432)
Enumeration Date2006-12-06
Last Update Date2007-07-08
Business Address
-- STEPHANIE WAGGONER
6900 WEST COUNTRY CLUB DR
HUNTINGTON, WV 25705
Phone number: 304-733-1060
Mailing Address
-- STEPHANIE WAGGONER
574 WILD CHERRY CIR
RACELAND, KY 41169-1177
Phone number: 606-836-5680
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