Melissa Kay Waggoner, LCSW

NPI #1093874265 in San Marcos, Texas

Provider Information

NPI Number
1093874265
Entity Type
Individual
Name
Melissa Kay Waggoner, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1901 DUTTON DR
Address 2
SUITE D
State
Texas
ZIP Code
78666-7573
Phone
(512) 558-2002

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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