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1649620246
KAITLIN WAGGONER
MOUNT VERNON, OH
NPI
1649620246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.140594)
Enumeration Date
2016-06-15
Last Update Date
2016-06-15
Business Address
-- KAITLIN WAGGONER CDCA
106 E GAMBIER ST
MOUNT VERNON, OH 43050-3510
Phone number: 740-397-2660
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Mailing Address
-- KAITLIN WAGGONER CDCA
106 E GAMBIER ST
MOUNT VERNON, OH 43050-3510
Phone number: 740-397-2660
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