Kimberly A Waggoner, MSW
NPI #1114954302 in East Providence, Rhode Island
Provider Information
- NPI Number
- 1114954302
- Entity Type
- Individual
- Name
- Kimberly A Waggoner, MSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW
- Enumeration Date
- Jun 26, 2006
- Last Updated
- Aug 28, 2021
Practice Location
- Address
- 400 MASSASOIT AVE STE 101
- City
- East Providence
- State
- Rhode Island
- ZIP Code
- 02914-2017
- Phone
- (401) 612-7693
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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