CRAIG D. WAGGONER

LAKE CHARLES, LA
NPI1578517439
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TP0016X Psychologist, Prescribing (Medical)
(Licence: LA  MPAP.000029)
Enumeration Date2006-05-22
Last Update Date2013-02-07
Business Address
Dr. CRAIG D. WAGGONER PhD, MPAP
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-8022
Mailing Address
Dr. CRAIG D. WAGGONER PhD, MPAP
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-8022
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