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1609971886
KATHLEEN A WAGGONER
FARMINGTON, MO
NPI
1609971886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2004014231)
Enumeration Date
2006-09-13
Last Update Date
2019-09-25
Business Address
Mrs. KATHLEEN A WAGGONER LPC
400 N WASHINGTON ST STE 111
FARMINGTON, MO 63640-1731
Phone number: 573-664-1117
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Mailing Address
Mrs. KATHLEEN A WAGGONER LPC
RR 2 BOX 2335
SEDGEWICKVILLE, MO 63781-9706
Phone number: 573-576-1936
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