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1760849830
ANGELA WAGGENER
SOUTHLAKE, TX
NPI
1760849830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 106854)
Enumeration Date
2016-01-20
Last Update Date
2016-01-20
Business Address
-- ANGELA WAGGENER M.S. CCC-SLP
101 WATERMERE DR
SOUTHLAKE, TX 76092-8116
Phone number: 817-431-8668
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Mailing Address
-- ANGELA WAGGENER M.S. CCC-SLP
5021 MARINEWAY DR
FORT WORTH, TX 76135-1809
Phone number: 405-555-5555
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