ZACHARY WAGGONER

EVANSVILLE, IN
NPI1336511674
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-10-27
Last Update Date2015-10-27
Business Address
-- ZACHARY WAGGONER
1510 W FRANKLIN ST
EVANSVILLE, IN 47710-1032
Phone number: 812-424-0223
Mailing Address
-- ZACHARY WAGGONER
3702 SANDSTONE CT
EVANSVILLE, IN 47711-7750
Phone number:
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