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1235691833
JESSICA KELLY WAGGONER
LEXINGTON, KY
NPI
1235691833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Additional Taxonomies
103TC0700X Psychologist, Clinical
(Licence: KY 265757)
Enumeration Date
2019-04-02
Last Update Date
2024-02-12
Business Address
JESSICA KELLY WAGGONER
2250 LEESTOWN RD
LEXINGTON, KY 40511-1052
Phone number: 859-223-4511
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Mailing Address
JESSICA KELLY WAGGONER
491 DAMRON BR
GRAYSON, KY 41143-7151
Phone number:
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