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1164578589
JILL DEGLER WAGGONER
SOUTH BEND, IN
NPI
1164578589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IN 34001091A)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
MS. JILL DEGLER WAGGONER M.S.W.
108 N MAIN ST STE 305
SOUTH BEND, IN 46601-1614
Phone number: 574-234-3515
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Mailing Address
MS. JILL DEGLER WAGGONER M.S.W.
1601 BYRON DR
SOUTH BEND, IN 46614-2804
Phone number: 574-291-2971
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