LUKE WILLIAM WAGGONER

WALLA WALLA, WA
NPI1518265347
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: WA  CG60117524)
Enumeration Date2011-03-02
Last Update Date2011-03-02
Business Address
MR. LUKE WILLIAM WAGGONER
1520 KELLEY PL
WALLA WALLA, WA 99362-8654
Phone number: 509-524-2920
Mailing Address
MR. LUKE WILLIAM WAGGONER
PO BOX 1595 1520 KELLY PLACE
WALLA WALLA, WA 99362-0329
Phone number: 509-524-2920
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