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1215159652
STEVEN DALE WAGGONER
YREKA, CA
NPI
1215159652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT85869)
Enumeration Date
2007-05-03
Last Update Date
2018-08-23
Business Address
Mr. STEVEN DALE WAGGONER MA
2060 CAMPUS DR
YREKA, CA 96097
Phone number: 530-841-4100
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Mailing Address
Mr. STEVEN DALE WAGGONER MA
300 WIMER ST
ASHLAND, OR 97520
Phone number: 541-778-1336
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