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1114954302
KIMBERLY A WAGGONER
EAST PROVIDENCE, RI
NPI
1114954302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW00879)
Enumeration Date
2006-06-26
Last Update Date
2021-08-28
Business Address
KIMBERLY A WAGGONER MSW
400 MASSASOIT AVE STE 101
EAST PROVIDENCE, RI 02914-2017
Phone number: 401-612-7693
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Mailing Address
KIMBERLY A WAGGONER MSW
400 MASSASOIT AVE STE 101
EAST PROVIDENCE, RI 02914-2017
Phone number: 401-612-7693
Copy
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