MS. Pamela M Waggoner, LICSW LADCI

NPI #1336255207 in Georgetown, Massachusetts

Provider Information

NPI Number: 1336255207
Entity Type: Individual
Name: MS. Pamela M Waggoner, LICSW LADCI
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW LADCI
Enumeration Date: Aug 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 65 CENTRAL ST.
City: Georgetown
State: Massachusetts
ZIP Code: 01833
Phone: (978) 352-3380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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