KELLY WAGGONER

LILBURN, GA
NPI1730501511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  CCHM0207621)
Enumeration Date2014-01-13
Last Update Date2020-07-20
Business Address
Mrs. KELLY WAGGONER LPCC
5165 BOWERS BROOK DR SW
LILBURN, GA 30047-5172
Phone number: 505-695-1613
Mailing Address
Mrs. KELLY WAGGONER LPCC
5165 BOWERS BROOK DR SW
LILBURN, GA 30047-5172
Phone number: 505-695-1613
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