MISS Jennifer Marie Waggoner, C8432 LCSW
NPI #1063133361 in Diamondhead, Mississippi
Provider Information
- NPI Number
- 1063133361
- Entity Type
- Individual
- Name
- MISS Jennifer Marie Waggoner, C8432 LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- C8432 LCSW
- Enumeration Date
- Sep 6, 2022
- Last Updated
- Sep 6, 2022
Practice Location
- Address
- 7714 MOANALUA WAY
- City
- Diamondhead
- State
- Mississippi
- ZIP Code
- 39525-3740
- Phone
- (228) 305-0063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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