TINA L WAGGONER

SAN LUIS OBISPO, CA
NPI1407547490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-05-19
Last Update Date2023-05-19
Business Address
TINA L WAGGONER
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
Mailing Address
TINA L WAGGONER
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500
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